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Ann Thorac Surg 2004;77:1102
© 2004 The Society of Thoracic Surgeons
a Department of Cardiothoracic Surgery, Keck School of Medicine, University of Southern California and Children's Hospital Los Angeles, Los Angeles, California, USA
* Address reprint requests to Dr Wells, Division of Cardiothoracic Surgery, Children's Hospital Los Angeles, 4650 Sunset Blvd, MS 66, Los Angeles, CA 90027, USA
e-mail: wwells@chla.usc.edu
| The first 20% of the full text of this article appears below. |
A 15-year-old girl presented with palpitations and chest pains that radiated to the left shoulder. One ye prior, during a bout of depression, she had placed sewing needles into both antecubital fossa. Whereas the needle on the right side had been extracted, the one in her left arm was never found.
On physical examination there were normal vital signs including a regular heart rhythm. Breath sounds
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