Kirschner Wire Migration from the Right Sternoclavicular Joint to the Heart: A Case Report
DOI:
https://doi.org/10.1532/HSF98.20061086Abstract
Presented here is a rare case in which Kirschner wires migrated from the right sternoclavicular joint to the heart. A 29-year-old man suffering from sternoclavicular instability due to a motorcycle accident received surgical fixation with Kirschner wires. Six months after the surgery, the chest x-ray showed migration of the 3 broken wires to the anterior mediastinum and to the right hemithorax. The patient was asymptomatic and was scheduled for elective surgical extraction of the migrating wires because of the potential danger of injuring the mediastinal organs.During the surgery, the intracardiac location of all wires was discovered,and the wires were successfully extracted from the extracorporeal circulation. This rare and potentially lethal complication is discussed.References
Goodsett JR, Pahl AC, Glaspy JN, Schapira MM. 1999. Kirschner wire embolization to the heart: an unusual cause of pericardial tamponade. Chest 115:291-3.nHaapaniemi TA, Hermansson US. 1997. Cardiac arrhythmia caused by a Kirschner wire inside the heart. An unusual complication of finger osteosynthesis. J Hand Surg 22:402-4.nHegemann S, Kleinig R, Schindler HG, Holthusen H. 2005. Kirschner wire migration in the contralateral lung after osteosynthesis of a clavicular fracture. Unfallchirurg 108:991-3.nLyons FA, Rockwood CA Jr. 1990. Migration of pins used in operations on the shoulder. J Bone Joint Surg Am 72:1262-7.nPafko P, Franek J. 1988. Case report of the migration of a Kirschner wire into the lungs. Rozhl Chir 67:276-8.nPriban V, Toufar P. 2005. A spinal cord injury caused by a migrating Kirschner wire following osteosynthesis of the clavicle: a case review. Rozhl Chir 84:373-5.nSiepel RC, Schmeling GJ, Daley RA. 2001. Migration of a K-wire from the distal radius to the heart. Am J Orthop 30:147-1.nWada S, Noguchi T, Hashimoto T, Uchida Y, Kawahara K. 2005. Successful treatment of a patient with penetrating injury of the esophagus and brachiocephalic artery due to migration of Kirschner wires. Ann Thorac Cardiovasc Surg 11:313-5.n
