title: Successful treatment of a patient with penetrating injury of the esophagus and brachiocephalic artery due to migration of Kirschner wires.
abstract: Pins and wires offer the simplest and most effective tools for managing bone fractures and dislocations. Migration of these devices within the chest is rare, but can cause serious problems. The spontaneous migration of Kirschner wires from the right clavicle to the mediastinum resulted in penetrating injury of the esophagus and pseudo-aneurysm of the brachiocephalic artery in an 84-year-old patient. Two Kirschner wires were removed via a vertical incision on the right shoulder without thoracotomy and the brachiocephalic artery was replaced with a Dacron graft.
authors.affiliation: Department of Oncological Science (Surgery 2), Oita University Faculty of Medicine, Oita, Japan.
authors.forename: Shinsuke
authors.initials: S
authors.lastname: Wada
authors.forename: Tsuyoshi
authors.initials: T
authors.lastname: Noguchi
authors.forename: Tsuyoshi
authors.initials: T
authors.lastname: Hashimoto
authors.forename: Yuzo
authors.initials: Y
authors.lastname: Uchida
authors.forename: Katsunobu
authors.initials: K
authors.lastname: Kawahara
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D017541:Aneurysm, False / Q000209:etiology; D001864:Bone Wires; D016122:Brachiocephalic Trunk / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D002968:Clavicle / Q000293:injuries; D004947:Esophagus / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D005548:Foreign-Body Migration / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D005593:Fracture Fixation, Internal; D050723:Fractures, Bone / Q000601:surgery; D006801:Humans; D008297:Male; D011859:Radiography; D014950:Wounds, Penetrating / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery