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Ann Thorac Surg 2009;88:653-654. doi:10.1016/j.athoracsur.2008.12.093
© 2009 The Society of Thoracic Surgeons
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Case Reports

Migration of a Kirschner Wire From the Clavicle Into the Intrathoracic Trachea

Mitsuo Nakayama, MD, PhD*, Masatoshi Gika, MD, PhD, Hiroki Fukuda, MD, Takeshi Yamahata, MD, Kohei Aoki, MD, Syugo Shiba, MD, Keisuke Eguchi, MD, PhD

Department of General Thoracic Surgery, Saitama Medical Center, Saitama Medical University, Kawagoe, Saitama, Japan

Accepted for publication December 30, 2008.

* Address correspondence to Dr Nakayama, 1981 Kamoda-Tujido, Kawagoe, Saitama, 350-8550, Japan (Email: 30mnaka{at}saitama-med.ac.jp).

We report a 70-year-old man who had a rare complication related to the insertion of Kirschner wires for fixation of a right clavicle fracture. Eight months after the placement of the Kirschner wires, he presented with cough and hemosputum. Chest roentgenograms, chest computed tomographic scans, and bronchoscopy revealed that one of the Kirschner wires had migrated through the lung and into the intrathoracic trachea. Immediate thoracotomy was performed to remove the wire. His postoperative course was uneventful.




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