Evidence map›Paper›PMID 41609268›Full record

ArticleJACC. Case reports2026

Critical Surgical Management Pearls in Penetrating Cardiac Nail Gun Injury.

Ivan C H Siu, Kevin Lim, Jacky Y K Ho, Simon C Y Chow, Micky W T Kwok, Takuya Fujikawa, Randolph H L Wong

Abstract readCase Reports
In one paragraph

Article in JACC. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Ivan C H SiuDivision of Cardiothoracic Surgery, Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong SAR, China.
Kevin LimDivision of Cardiothoracic Surgery, Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong SAR, China.
Jacky Y K HoDivision of Cardiothoracic Surgery, Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong SAR, China.
Simon C Y ChowDivision of Cardiothoracic Surgery, Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong SAR, China.
Micky W T KwokDivision of Cardiothoracic Surgery, Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong SAR, China.
Takuya FujikawaDivision of Cardiothoracic Surgery, Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong SAR, China.
Randolph H L WongDivision of Cardiothoracic Surgery, Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong SAR, China. Electronic address: wonhl1@surgery.cuhk.edu.hk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPenetrating cardiac injuries are typically fatal. Nail gun injuries to the heart are rare, and surgical repair is warranted. CASE SUMMARY: This case details a rare, self-inflicted injury where multiple nails were discharged into a patient's heart and head. Remaining hemodynamically stable at presentation, he underwent a computed tomography scan to delineate the trajectory and location of the intracardiac nails. Successful removal and repair of the myocardium was carried out under cardiopulmonary bypass. Subsequent removal of the intracranial nails was performed, and the patient made a full recovery. DISCUSSION: Penetrating injury to the heart via nail gun discharge is rare, and this case addresses diagnosis and surgical management of such injury. TAKE-HOME MESSAGES: Nail gun injuries to the heart require prompt surgical management, and the resulting injury can vary from simple to complex given the high velocity of the impact and the small caliber of the nails. Additional preoperative imaging should be considered whenever clinically feasible to facilitate surgical planning.

Indexed as

cardiac injurynail gunpenetrating trauma

Identifiers

PMID41609268
PMCPMC12882684

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.