Cardiac injury presents a great challenge to the emergency doctors
because these injuries require urgent intervention to prevent death.
Sometimes serious cardiac injury may manifest only subtle or occult
symptoms or signs. Cardiac foreign bodies induced cardiac penetrating
injury infrequently and may lead to unpredictable complications,
especially for those with sharp nature. However, we know little about
the migrating paths or the foreign bodies location changes of such
cases. As there is a rarely reported case of cardiac penetrating injury
caused by a self-inflicted needle that migrated from the neck to the
heart, we herein present a review of such injury on dynamic monitoring
using perioperative echocardiography showed the needle shuttled through
the ventricular wall along with increasing pericardial effusion.