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Ann Thorac Surg 2006;81:1895-1897
© 2006 The Society of Thoracic Surgeons

Case report

Chronic Heart Perforation With 13.5 cm Long Kirschner Wire Without Pericardial Tamponade: An Unusual Sequelae After Shoulder Fracture

Igor Medved, MD a , * , Ognjen Simic, MD, PhD a , Marina Bralic, MD c , Valter Stemberga, MD d , Miljenko Kovacevic, MD a , Ante Matana, MD, PhD b , Alan Bosnar, MD, PhD d

a Department of Cardiac Surgery, University Hospital Rijeka, Rijeka, Croatia
b Department of Cardiology, University Hospital Rijeka, Rijeka, Croatia
c Department of Histology and Embryology, Faculty of Medicine, University of Rijeka, Rijeka, Croatia
d Department of Forensic Medicine, Faculty of Medicine, University of Rijeka, Rijeka, Croatia

Accepted for publication June 20, 2005.

* Address correspondence to Dr Medved, Department of Cardiac Surgery, University Hospital Rijeka, T. Strizica 3, 51 000 Rijeka, Croatia (Email: igor.medved{at}ri.t-com.hr).

We report a unique case of cardiac embolization with the Kirschner wire that has been used for osteosynthesis for 24 months previously. According to the complete analysis of medical records and autopsy report, the wire had migrated from the right humeroscapular joint to the heart. Although migration of a Kirschner wire has been reported in the literature, migration of the wire with a total length of 13.5 cm with no pericardial tamponade, despite myocardial perforation, has not been previously described.




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