Nagoya East Medical Center

Nagoya-shi, Japan

Nagoya East Medical Center

Nagoya-shi, Japan

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Suda H.,Nagoya East Medical Center | Nakayama T.,Nagoya East Medical Center | Sunada M.,Nagoya East Medical Center | Miyata Y.,Nagoya East Medical Center | Yamada T.,Nagoya East Medical Center
Kyobu geka. The Japanese journal of thoracic surgery | Year: 2014

Penetrating cardiac injuries are life-threatening emergencies. We present a case of a 24-year-old construction worker who accidentally shot himself with a nail gun. Chest X-ray showed a 6 cm-long nail overlapping the cardiac shadow. A computed tomography (CT) scan revealed the nail penetrating the left ventricle and a large amount of pericardial effusion. Median sternotomy was performed and cardiopulmomary bypass was established. Then, the nail was removed and the left ventricular wound was repaired by 4-0 Prolene mattress sutures buttressed with felt-strips. He had an uncomplicated postoperative course and was discharged 7 days postoperatively.


Hayashi Y.,Nagoya City University | Hayashi Y.,Nagoya East Medical Center | Suzumori N.,Nagoya City University | Sugiura T.,Nagoya City University | Sugiura-Ogasawara M.,Nagoya City University
Congenital Anomalies | Year: 2015

Holoprosencephaly (HPE) is a rare brain abnormality characterized by an incomplete cleavage of the primitive prosencephalon of forebrain during early embryogenesis. To determine the clinical characteristics and outcome of fetuses with HPE, we retrospectively analyzed nine patients who were prenatally diagnosed as fetal HPE by ultrasounds. The mean diagnostic weeks were 20 weeks of gestation. Two cases died within one day after birth. The chromosomal examinations were performed in seven cases (trisomy 18: n=2; trisomy 13: n=2; 45,XX,der(18)t(18;21)(p10;p10)mat: n=1; normal karyotype: n=2). In our HPE cases, most cases had serious facial anomalies and poor prognosis. Our data suggested that the early prenatal diagnosis of HPE allowed time for parental counseling and delivery planning. © 2015 Japanese Teratology Society.


PubMed | Nagoya East Medical Center
Type: Case Reports | Journal: Kyobu geka. The Japanese journal of thoracic surgery | Year: 2014

Penetrating cardiac injuries are life-threatening emergencies. We present a case of a 24-year-old construction worker who accidentally shot himself with a nail gun. Chest X-ray showed a 6 cm-long nail overlapping the cardiac shadow. A computed tomography (CT) scan revealed the nail penetrating the left ventricle and a large amount of pericardial effusion. Median sternotomy was performed and cardiopulmomary bypass was established. Then, the nail was removed and the left ventricular wound was repaired by 4-0 Prolene mattress sutures buttressed with felt-strips. He had an uncomplicated postoperative course and was discharged 7 days postoperatively.

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