Case Report: Self-limiting penetrating cardiothoracic injury from a barbed shark dart involving the right atrium
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By
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Xiong Tan
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Weikai Dong
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Yong Liu
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Yinglong Lai
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Jinjie Li
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June 3, 2026
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Clinical Scorecard: Case Study: Self-resolving Penetrating Cardiac Injury from a Barbed Shark Dart Affecting the Right Atrium
At a Glance
| Category | Detail |
|---|
| Condition | |
| Key Mechanisms | Penetration by a barbed shark dart limiting further cardiac damage, highlighting the self-limiting mechanism. |
| Target Population | |
| Care Setting | |
Key Highlights
- The barbed shark dart caused a right atrial injury but limited further damage due to its structural features.
Guideline-Based Recommendations
Diagnosis
Management
- Prompt surgical exploration for unstable patients or those with positive findings.
- Consider imaging for unstable patients to assess injury extent.
Monitoring & Follow-up
Risks
Patient & Prescribing Data
Emergency cardiac suture operation and lung wedge resection were performed, emphasizing surgical techniques.
Clinical Best Practices
- Employ a multidisciplinary approach involving emergency, cardiothoracic, and trauma surgeons.
- Utilize imaging-guided surgical planning for stable patients, as critical for outcomes.
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