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Unusual Penetrating Retained cardiac Intramural Foreign Body A Case Report

M Alassal , M Alaa , M Aldahmashi

Penetrating cardiac injuries are devastating lesions that represent a major challenge with high mortality (40%-90%). Such injuries are considered a real challenge because of their unpredictable clinical course. Our case is unique to describe a nail that penetrated the heart through the right atrium, sparing the tricuspid valve, the inter-ventricular septum, and the conduction system to be retained intramurally at the right ventricular inferior wall without an exit point. Timely diagnosis and proper operative management; enabled us to rescue a victim with penetrating cardiac injury. The use of CPB and epicardial ultrasonography was beneficial in detecting and extracting the FB.