Intravascular migration of fractured sternal wire presenting with hemoptysis

Autor: John D. Rumisek, Andrew J Schreffler
Rok vydání: 2001
Předmět:
Zdroj: The Annals of Thoracic Surgery. 71:1682-1684
ISSN: 0003-4975
DOI: 10.1016/s0003-4975(00)02311-0
Popis: We present a rare complication of median sternotomy in which a segment of fractured sternal wire punctured the heart, embolized to the right lung, and eroded into a bronchus causing massive hemoptysis. It was safely removed through a median sternotomy. Sternal wire fracture or migration is diagnosed easily on chest roentgenograms, but frequently goes unnoticed. Sternal wire failure can be managed nonoperatively; however, repair is indicated if fractured wires are displaced or potentially migratory.
Databáze: OpenAIRE