PMC10040354_01
Multiple nail gunshots through the chest wall.
fcvm-10-1081162-g001.jpg
PMC10040354_01_fcvm-10-1081162-g001.jpg
F1
Inspection revealed multiple nails penetrating the head, the neck, the thorax and the left upper abdomen (Figure 1).
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).
fcvm-10-1081162-g002.jpg
PMC10040354_01_fcvm-10-1081162-g002.jpg
F2
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.
Cranial CT-scan before removal of the nails from the skull (left) with discrete bleeding and after removal with a progressive hematoma (arrow) (right).
fcvm-10-1081162-g003.jpg
PMC10040354_01_fcvm-10-1081162-g003.jpg
F3
Cerebral CT-scan was repeated and showed a slight increase of the hematoma in the left frontal and right temporal regions (Figure 3).
Intraoperative picture during repair of the right ventricular lesions (white arrows) and pericardial patch covering the left ventricular lesion (yellow arrow).
fcvm-10-1081162-g004.jpg
PMC10040354_01_fcvm-10-1081162-g004.jpg
F4
GA, USA) was injected (Figure 4).
Postoperative CT scan showing the patent left anterior descending artery (red arrows).
fcvm-10-1081162-g005.jpg
PMC10040354_01_fcvm-10-1081162-g005.jpg
F5
Cardiac CT-scan showed patent coronary arteries (Figure 5).