Literature DB >> 30524560

A runaway sternal wire: A rare case and outcome of sternal wire intravascular embolization.

Omar A Abdul Ghani1, Jeffrey Lau1, Anne Kemble1.   

Abstract

We present a case of a 56-year-old man with history of coronary artery disease and prior two coronary bypass surgeries, who presented with chronic chest pain and was found to have a fractured sternal wire that migrated through the right ventricle and embolized to the right lower pulmonary artery without evident hemodynamic consequences. The sternal wire migration process, in part due to patient's poor medical compliance, was captured on serial computed tomography scans over a period of several years. <Learning objective: Recognize potential sternotomy complications on imaging. Identify rare but potentially dangerous complications of sternal wire fractures. Review of the literature on sternal wire embolization.>.

Entities:  

Keywords:  Sternal wire embolization; Sternal wire fracture; Sternal wire migration; Sternotomy complications

Year:  2016        PMID: 30524560      PMCID: PMC6262091          DOI: 10.1016/j.jccase.2016.05.004

Source DB:  PubMed          Journal:  J Cardiol Cases        ISSN: 1878-5409


  7 in total

1.  Intravascular migration of fractured sternal wire presenting with hemoptysis.

Authors:  A J Schreffler; J D Rumisek
Journal:  Ann Thorac Surg       Date:  2001-05       Impact factor: 4.330

2.  Haemopericardium causing cardiac tamponade: a late complication of pectus excavatum repair.

Authors:  M J Barakat; J A Morgan
Journal:  Heart       Date:  2004-04       Impact factor: 5.994

3.  Unexpected cause for chest pain: compression of the right coronary artery caused by a protruding sternal wire.

Authors:  Marcus-André Deutsch; Christian Noebauer; Melchior Seyfarth; Domenico Mazzitelli; Albrecht Will; Markus Krane; Robert Bauernschmitt; Rüdiger Lange
Journal:  Circulation       Date:  2010-11-02       Impact factor: 29.690

4.  Wandering wires: frequency of sternal wire abnormalities in patients with sternal dehiscence.

Authors:  P M Boiselle; A V Mansilla; M S Fisher; T C McLoud
Journal:  AJR Am J Roentgenol       Date:  1999-09       Impact factor: 3.959

Review 5.  Mediastinal infection after cardiac surgery.

Authors:  M G Sarr; V L Gott; T R Townsend
Journal:  Ann Thorac Surg       Date:  1984-10       Impact factor: 4.330

6.  Aortic graft pseudoaneurysm secondary to fracture of sternal wires.

Authors:  Chiung-Lun Kao; Jen-Ping Chang
Journal:  Tex Heart Inst J       Date:  2003

7.  Traumatic Bilateral Pneumothoraces due to Sternal Wire Migration.

Authors:  Umar Imran Hamid; Scott Gillespie; Colum Lynchehaun; Haralabos Parissis
Journal:  Case Rep Med       Date:  2012-05-27
  7 in total
  1 in total

1.  Ascending aorta graft pseudoaneurysm and aortobronchial fistula caused by a fractured sternal wire: a case report.

Authors:  Ahmad Ali Amirghofran; Elahe Nirooei; Mohammad Ali Ostovan
Journal:  J Cardiothorac Surg       Date:  2021-12-07       Impact factor: 1.637

  1 in total

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