Cardiac Pneumatic Nail Gun Injury
Pneumatic nail guns deliver discrete, low-velocity penetrating trauma causing limited injury.1 Kinetic energy is centered on the nail’s advancing tip, and therefore such injuries are similar to stab wounds. This is reflected in the 11% mortality rate after accidental discharges. Mortality rates might, however, exceed 40% when these injuries are self-inflicted.1 and 2 In the case presented the patient attempted suicide, shooting himself 17 times in the chest with a pneumatic nail gun. The optimal diagnostic and therapeutic approach to this unusual injury is described.
Straus, J. P.,
Woods, R. J.,
McCarthy, M. C.,
Anstadt, M. P.,
& Kwon, N.
(2006). Cardiac Pneumatic Nail Gun Injury. The Journal of Thoracic and Cardiovascular Surgery, 132 (3), 702-703.