{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T20:00:26Z","timestamp":1787169626627,"version":"build-2736575974"},"reference-count":6,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"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":[[2026,4]]},"abstract":"<jats:title>\n                    A\n                    <jats:sc>BSTRACT<\/jats:sc>\n                  <\/jats:title>\n                  <jats:p>We report a rare case of a 59-year-old male with a history of depression stabbed himself from xiphoid to heart. Following initial cardiothoracic surgery for hemothorax and cardiac repair, the patient was discharged and transferred to a psychiatric facility for depression treatment. Four weeks later, he returned with complaints of chest pain, cough, and expectoration. Further examination found abnormal blood pathways in heart and second surgery confirmed these were attribute to the original penetrating injury. This case highlights the delayed complications of penetrating cardiac trauma and underscores the importance of multidisciplinary management in such complex scenarios.<\/jats:p>","DOI":"10.4103\/jfmpc.jfmpc_1578_25","type":"journal-article","created":{"date-parts":[[2026,5,23]],"date-time":"2026-05-23T14:01:15Z","timestamp":1779544875000},"page":"1847-1849","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["A case report: A man creates holes in his own heart"],"prefix":"10.4103","volume":"15","author":[{"given":"Yibing","family":"Wu","sequence":"first","affiliation":[{"name":"Department of Ultrasonic Medicine, Shenzhen Guangming District People\u2019s Hospital, Shenzhen, Guangdong, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xuan","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Emergency, Shenzhen Guangming District People\u2019s Hospital, Shenzhen, Guangdong, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xinlong","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Emergency, Shenzhen Guangming District People\u2019s Hospital, Shenzhen, Guangdong, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,5,23]]},"reference":[{"key":"R1-20260603","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1186\/s13049-021-00895-1","article-title":"Penetrating injuries in Germany-epidemiology, management and outcome an analysis based on the TraumaRegister DGU\u00ae","volume":"29","author":"Bieler","year":"2021","journal-title":"Scand J Trauma Resusc Emerg Med"},{"key":"R2-20260603","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1016\/j.sopen.2022.11.001","article-title":"Penetrating cardiac trauma","volume":"11","author":"Lee","year":"2022","journal-title":"Surg Open Sci"},{"key":"R3-20260603","doi-asserted-by":"crossref","first-page":"3265","DOI":"10.1053\/j.jvca.2022.02.010","article-title":"Echocardiography and management for cardiac trauma","volume":"36","author":"Latif","year":"2022","journal-title":"J Cardiothorac Vasc Anesth"},{"key":"R4-20260603","doi-asserted-by":"crossref","first-page":"29","DOI":"10.31083\/j.fbl2701029","article-title":"Penetrating cardiac injuries: literature review and analysis of the forensic approach","volume":"27","author":"Ferrara","year":"2022","journal-title":"Front Biosci (Landmark Ed)"},{"key":"R5-20260603","doi-asserted-by":"crossref","first-page":"11563","DOI":"10.1038\/s41598-023-38756-9","article-title":"Retrospective analysis of 261 autopsies of penetrating cardiac injuries with emphasis on sociodemographic factors","volume":"13","author":"Isaza-Restrepo","year":"2023","journal-title":"Sci Rep"},{"key":"R6-20260603","doi-asserted-by":"crossref","first-page":"1254","DOI":"10.1007\/s11748-021-01650-0","article-title":"Penetrating left ventricular injuries management: Single general thoracic center experience","volume":"69","author":"Campisi","year":"2021","journal-title":"Gen Thorac Cardiovasc Surg"}],"container-title":["Journal of Family Medicine and Primary Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jfmpc.jfmpc_1578_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T19:09:18Z","timestamp":1787166558000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jfmpc.jfmpc_1578_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4]]},"references-count":6,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/jfmpc.jfmpc_1578_25","relation":{},"ISSN":["2249-4863","2278-7135"],"issn-type":[{"value":"2249-4863","type":"print"},{"value":"2278-7135","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4]]},"assertion":[{"value":"2025-08-24","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-26","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}