To the Editor.—
In the LETTER TO THE EDITOR "Unusual Foreign Body Pathway to the Heart" (238:2016, 1977), correspondents McCormack and Knapper state that a review of the literature showed only one other case1 of a sewing needle self-introduced into the chest. We reported a case of a self-inflicted sewing needle introduced into the myocardium in 1949,2 and at that time we found an additional similar previous report. It is of interest that Berg's3 case as well as ours showed evidence of pericarditis. It is regrettable that the current report omits electrocardiographic findings.