alexa Intravascular migration of fractured sternal wire presenting with hemoptysis.


Emergency Medicine: Open Access

Author(s): Schreffler AJ, Rumisek JD

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Abstract 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.
This article was published in Ann Thorac Surg and referenced in Emergency Medicine: Open Access

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