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Ann Thorac Surg 2009;87:1937-1939. doi:10.1016/j.athoracsur.2008.10.069
© 2009 The Society of Thoracic Surgeons
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Case Reports

Thoracoscopic Management of a Pericardial Migration of a Breast Biopsy Localization Wire

Fouad Azoury, MD*, Paul Sayad, MD, Andre Rizk, MD

Department of Cardiothoracic Surgery, Division of General Surgery, Division of Hematology-Oncology, American Hospital Dubai, Dubai, United Arab Emirates

Accepted for publication October 21, 2008.

* Address correspondence to Dr Azoury, Department of Cardiothoracic Surgery, American Hospital Dubai, Dubai, 5566, United Arab Emirates (Email: fazoury{at}hotmail.com).

Intrathoracic migration of a breast biopsy localization wire is relatively rare and most of the wires end up in the pleural cavity. We report the first case of almost total intrapericardial migration of a monofilament hooked wire that was lost during the breast biopsy procedure. The case was successfully managed by video-assisted thoracoscopic surgery. Postulated mechanisms of migration of such wires are reviewed and a new mechanism is proposed.




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[Abstract] [Full Text] [PDF]


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