%0 Journal Article %T Successful Removal of a Rivet from the Heart of a Boy with Penetrating Cardiac Injury: A case Report and Literature Review %J International Journal of Pediatrics %I Mashhad University of Medical Sciences %Z 2345-5047 %A Mahmudlou, Rahim %A Khosroshahi, Ahmad %A Gheibi, Shahsanam %D 2014 %\ 11/01/2014 %V 2 %N 4.2 %P 1-4 %! Successful Removal of a Rivet from the Heart of a Boy with Penetrating Cardiac Injury: A case Report and Literature Review %K Heart injury %K penetrating thoracic injury %K cardiac injury %K Children %R 10.22038/ijp.2014.3437 %X Introduction: Penetrating cardiac injuries generally occur secondary to gunshot or stab wounds and have a high mortality rate. They are rare and often fatal in children. When a foreign object penetrates the myocardium, it is dangerous to remove it, suddenly, and should be removed gradually to prevent excessive bleeding. Case report: We report a case of an unusual penetrating cardiac injury in a 12-year-old boy with a rivet pushed into his sternum and penetrating the right ventricle. After the patient underwent sternotomy and pericardiotomy, the site of the rivet was exposed. A purse was then sutured around the rivet and tightened while pulling it out. The patient was discharged five days post-op, with normal echocardiography after 12 months. A review of the English-written literature revealed that this is the first case of heart trauma with rivet. %U https://ijp.mums.ac.ir/article_3437_423e37c85e015c4713ea2f49a827fe1e.pdf