(A and B) Transthoracic echocardiography showed one needle penetrated the right ventricle and extended distally through the interventricular septum, the left ventricle. (C) The intraoperative transesophageal echocardiography showed one needle embedded in the interventricular septum. (D) The needle was successfully removed with the guidance of the intraoperative transesophageal echocardiography (the length was about 4.0 cm).

(A and B) Transthoracic echocardiography showed one needle penetrated the right ventricle and extended distally through the interventricular septum, the left ventricle. (C) The intraoperative transesophageal echocardiography showed one needle embedded in the interventricular septum. (D) The needle was successfully removed with the guidance of the intraoperative transesophageal echocardiography (the length was about 4.0 cm).

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Background Penetration of the interventricular septum (IVS) by a sharp foreign body is a rare and potentially life‐threatening event. Methods We present the case of a 43‐year‐old female who had thrust four embroidery needles into her left chest wall while experiencing hallucinations after using an illegal drug. One needle had penetrated the heart...