Heart injury by the fish bone that has perforated esophagus

There is described the casuistic case of the death of the 67-year-old woman from hemotamponade of the pericardial cavity due to non-perforating injury to the posterior wall of the left heart ventricle with the fish bone that has perforated the anterior wall of the esophagus. It is also reported about the presence in literature of the single publication of the case of such perforation of the left heart atrium with its thrombosis and thromboembolic complications and of few rare cases of such perforation complicated with aortal pseudoaneurism, hemophtisis, and lung abscess. The peculiarity of this and published in the literature cases is that most of such perforations are asymptomatic, and their clinical manifestations appear already at the stage of development of complications.