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Ann Thorac Surg 2001;71:1682-1684
© 2001 The Society of Thoracic Surgeons

Case report

Intravascular migration of fractured sternal wire presenting with hemoptysis

Andrew J. Schreffler, MDa, John D. Rumisek, MDa

a Department of Surgery, University of Kansas School of Medicine, Wichita, Kansas, USA

Accepted for publication July 15, 2000.

Address reprint requests to Dr Rumisek, Department of Surgery Education, University of Kansas School of Medicine-Wichita, Via Christi Regional Medical Center, 929 N St Francis, Wichita, KS 67214
e-mail: kesimur{at}aol.com

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.




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