Purpose. Foreign body reaches the heart by different ways and causes serious complications. X-ray, computerized tomography and echocardiography are main diagnostic modalities. In this work we analyzed 100 published cases of foreign body in the heart and 4 cases that were identified in our hospital.
Methods. We searched the literature for foreign body in the heart and found 100 published previously cases. Additional 4 cases were identified in our echolab. A total series of 104 patients with foreign body in the heart were analyzed for the etiology, clinical presentation, symptoms, complications and management.
Results. Mean patients age was 46, there were more men than woman 73 versus 31 [p<0.00005]. The most common foreign bodies were parts of inferior vena cava filters and devices implanted for relieving hydrocephalus. Foreign body in the heart were symptomatic in 56%. Right heart chambers were occupied more often. 20% presented within the first 24 hours and 30% of patients presented years after the penetration of foreign body. Majority of foreign body reached the heart by migration [88%]. Mortality was reported in 4 patients [3.8%]. 54% of the patients underwent surgical and 29% - percutaneous removal of foreign body. 14% were followed conservatively.
Conclusion. Foreign bodies in the heart may present with a wide variety of symptoms. Physicians should be aware of this rare complications which may be fatal. Larger devices may result in more severe complications.
