the abnormal and rapid movement of sewing needle from chest toward heart

We herein introduced a 3 years old girl, who is a rare case of penetrating intracardiac damage severely induced by the abnormal movement of a sewing needle form the right lung toward the heart and entering in the right ventricle, which created right pneumothorax and right side bleeding. in clinical examinations, all vital symptoms were normal, and there was no sign of cardiac tamponade, except reduced sound in the right lung base. also, the external object was retained in the midclavicular line between the third rib, which was significant. in the simple posterior-anterior and lateral graphics of chest radio opacity linear image on the lower part of the heart, the shadow was also significant. this is a rare case of abnormal needle movement from the right thorax to the right ventricular apex, which caused pulmonary problems. following necessary diagnostic tests, a surgery was performed to remove the needle from the patient’s chest without open-heart surgery and cpb. finally, 3 days after the operation, the patient was discharged from the cardiac surgery service in good general condition.