Abstract
A previously healthy 35-year-old man presented with penetrating injuries to the left hand and anterior chest after an assault with a nail gun. The nails entered along the lateral left palm and left parasternal border (Fig 1). The patient remained hemodynamically stable and demonstrated no respiratory distress, hemoptysis, tachypnea, or hypoxia. Computed tomographic angiography demonstrated a 7.7-cm nail protruding through the left aspect of the manubrium with the nail tip projecting into the aortopulmonary window, under the aortic arch and above the main pulmonary artery, with no evidence of vessel injury.
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