Figure 1

Figure 1 : 

Panel A: initial chest X-ray three months earlier (lateral view) showing two needle-shaped foreign bodies projected on the heart’s opacity (arrows). Panel B: admission chest X-ray (lateral view) showing migration of one of the foreign bodies (big arrow). Panel C: transthoracic echocardiography–apical four-chamber view, showing a transfixial echodense linear image from the right ventricle free wall towards the interventricular septum. Panel D: intraoperative view of the right ventricular surface; the entry site of the foreign body in the heart is clearly visible. Panel E: intraoperative view of the extraction, under cardiopulmonary bypass, of the intracardiac sharp foreign body. Panel F: the foreign bodies visualized initially on X-ray after extraction (only one was intracardiac, the second being localized in the anterior mediastinum).