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Removal of a foreign body from the heart under transesophageal echocardiographic guidance.

THE REMOVAL of an intrathoracic foreign body is a surgical challenge.1 The patient was a young man who stabbed himself with a needle into the precordium. The removal of this needle from the heart was a challenge because of the continuous movement of the heart. This report describes how transesophageal echocardiography (TEE) helped guide the removal of the needle from the heart, thus avoiding the use of cardiopulmonary bypass (CPB).