{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T15:11:18Z","timestamp":1788966678965,"version":"build-2803163510"},"reference-count":8,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>We report a rare case of a 2-year-old child presenting 48 h after accidental penetrating chest trauma due to a fall from a motorcycle, with a retained foreign body lodged within the pericardial sac. Imaging revealed an opaque object overlying the cardiac silhouette. On median sternotomy, approximately 50 mL of pericardial blood was evacuated, and a piece of metallic debris was found resting beneath the left atrial appendage without injury to cardiac structures. The foreign body was successfully removed without cardiopulmonary bypass, and the child had an uneventful recovery. Retained foreign bodies in the pericardium following blunt\u2013penetrating trauma in pediatrics are exceedingly rare and require a high index of suspicion and appropriate imaging. Surgical exploration remains the definitive treatment when pericardial injury or cardiac tamponade is suspected.<\/jats:p>","DOI":"10.4103\/apc.apc_157_26","type":"journal-article","created":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T10:20:26Z","timestamp":1788949226000},"page":"608-611","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Millimeters from catastrophe: The pericardium as a lifesaving shield"],"prefix":"10.4103","volume":"19","author":[{"given":"Konark","family":"Thakkar","sequence":"first","affiliation":[{"name":"Department of Cardiothoracic and Vascular Surgery, Dr. D. Y. Patil Medical College Hospital and Research Centre, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anurag","family":"Garg","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic and Vascular Surgery, Dr. D. Y. Patil Medical College Hospital and Research Centre, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashish","family":"Dolas","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic and Vascular Surgery, Dr. D. Y. Patil Medical College Hospital and Research Centre, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shweta","family":"Tyagi","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic and Vascular Anesthesia, Dr. D. Y. Patil Medical College Hospital and Research Centre, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shriya","family":"Haval","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic and Vascular Surgery, Dr. D. Y. Patil Medical College Hospital and Research Centre, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ankur","family":"Dhameliya","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic and Vascular Surgery, Dr. D. Y. Patil Medical College Hospital and Research Centre, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vipul","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic and Vascular Anesthesia, Dr. D. Y. Patil Medical College Hospital and Research Centre, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ranjit","family":"Pawar","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic and Vascular Surgery, Dr. D. Y. Patil Medical College Hospital and Research Centre, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tanushree","family":"Kar","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic and Vascular Surgery, Dr. D. Y. Patil Medical College Hospital and Research Centre, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kishore","family":"Babu","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic and Vascular Anesthesia, Dr. D. Y. Patil Medical College Hospital and Research Centre, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,9,8]]},"reference":[{"key":"R1-20260909","first-page":"e53729","article-title":"Penetrating chest trauma in a child caused by a fall on a metallic bar: A case report","volume":"16","author":"Jabri","year":"2024","journal-title":"Cureus"},{"key":"R2-20260909","doi-asserted-by":"crossref","first-page":"1282","DOI":"10.1016\/j.jpedsurg.2007.02.022","article-title":"Metallic foreign body in the lung: A case report","volume":"42","author":"Dave","year":"2007","journal-title":"J Pediatr Surg"},{"key":"R3-20260909","first-page":"ytae627","article-title":"A shot through the heart: A case report on retained bullet causing cardiac tamponade","volume":"8","author":"Shah","year":"2024","journal-title":"Eur Heart J Case Rep"},{"key":"R4-20260909","doi-asserted-by":"crossref","first-page":"108032","DOI":"10.1016\/j.ijscr.2023.108032","article-title":"An unusual foreign body ricocheting into the pericardium after a penetrating thoracic injury: A case report","volume":"105","author":"Khan","year":"2023","journal-title":"Int J Surg Case Rep"},{"key":"R5-20260909","doi-asserted-by":"crossref","first-page":"4027","DOI":"10.21037\/jtd-23-767","article-title":"Penetrating chest trauma caused by a falling metallic bar: A case report","volume":"15","author":"Zhao","year":"2023","journal-title":"J Thorac Dis"},{"key":"R6-20260909","doi-asserted-by":"crossref","first-page":"24","DOI":"10.21608\/ejca.2024.388898","article-title":"Foreign body in the pericardium: A cause of cardiac dysfunction","volume":"18","author":"Pisekar","year":"2024","journal-title":"Egypt J Cardiothorac Anesth"},{"key":"R7-20260909","doi-asserted-by":"crossref","first-page":"782","DOI":"10.1177\/0218492316664673","article-title":"Impacted thoracic foreign bodies after penetrating chest trauma","volume":"24","author":"Sersar","year":"2016","journal-title":"Asian Cardiovasc Thorac Ann"},{"key":"R8-20260909","first-page":"E560","article-title":"Removal of metallic foreign body in heart by minimally invasive procedure under the guidance of transesophageal echocardiography and transthoracic echocardiogram","volume":"7","author":"Qian","year":"2015","journal-title":"J Thorac Dis"}],"container-title":["Annals of Pediatric Cardiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/apc.apc_157_26","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T14:18:57Z","timestamp":1788963537000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/apc.apc_157_26"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9]]},"references-count":8,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/apc.apc_157_26","relation":{},"ISSN":["0974-2069","0974-5149"],"issn-type":[{"value":"0974-2069","type":"print"},{"value":"0974-5149","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9]]},"assertion":[{"value":"2026-04-20","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-29","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}