Migrated sternotomy wire

Case contributed by Dr Henry Knipe

Presentation

Chest pain.

Patient Data

Age: 80 years
Gender: Male
X-ray
Previous sternotomy. Within the anterior mediastinum approximately in a midline position at the level of the proximal ascending aorta is a fragmented curvilinear metallic density.
CT
Migrated sternotomy wire lies in the mediastinum anterior to the ascending aorta, right auricle and right atrium.

Case Discussion

Migration of sternotomy wires is uncommon but have been reported to migrate into the tracheobronchial tree, heart, and great vessels. Complications such as pneumothorax and fatal haemorrhage have also been reported. 

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Case information

rID: 55804
Case created: 26th Sep 2017
Last edited: 28th Sep 2017
System: Chest
Inclusion in quiz mode: Excluded

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