case_images: PMC10040354_01
case_images: Multiple nail gunshots through the chest wall.
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case_images: PMC10040354_01_fcvm-10-1081162-g001.jpg
case_images: F1
case_images: Inspection revealed multiple nails penetrating the head, the neck, the thorax and the left upper abdomen (Figure 1).
case_images: 3d reconstruction of the CT-scan showing nails in the head (left) and those penetrating into the heart, the left lung and the stomach (right).
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case_images: PMC10040354_01_fcvm-10-1081162-g002.jpg
case_images: F2
case_images: Total body computer tomography was performed (Figure 2) and demonstrated eighteen 7.5 cm long nails: two nails penetrated the skull, one from left paramedian and the other from right parietal causing a small subarachnoid and a thin subdural hematoma with a small amount of blood in both ventricles.
case_images: Cranial CT-scan before removal of the nails from the skull (left) with discrete bleeding and after removal with a progressive hematoma (arrow) (right).
case_images: fcvm-10-1081162-g003.jpg
case_images: PMC10040354_01_fcvm-10-1081162-g003.jpg
case_images: F3
case_images: Cerebral CT-scan was repeated and showed a slight increase of the hematoma in the left frontal and right temporal regions (Figure 3).
case_images: Intraoperative picture during repair of the right ventricular lesions (white arrows) and pericardial patch covering the left ventricular lesion (yellow arrow).
case_images: fcvm-10-1081162-g004.jpg
case_images: PMC10040354_01_fcvm-10-1081162-g004.jpg
case_images: F4
case_images: GA, USA) was injected (Figure 4).
case_images: Postoperative CT scan showing the patent left anterior descending artery (red arrows).
case_images: fcvm-10-1081162-g005.jpg
case_images: PMC10040354_01_fcvm-10-1081162-g005.jpg
case_images: F5
case_images: Cardiac CT-scan showed patent coronary arteries (Figure 5).