title: Chronic heart perforation with 13.5 cm long Kirschner wire without pericardial tamponade: an unusual sequelae after shoulder fracture.
abstract: We report a unique case of cardiac embolization with the Kirschner wire that has been used for osteosynthesis for 24 months previously. According to the complete analysis of medical records and autopsy report, the wire had migrated from the right humeroscapular joint to the heart. Although migration of a Kirschner wire has been reported in the literature, migration of the wire with a total length of 13.5 cm with no pericardial tamponade, despite myocardial perforation, has not been previously described.
authors.affiliation: Department of Cardiac Surgery, University Hospital Rijeka, Rijeka, Croatia. igor.medved@ri.t-com.hr
authors.forename: Igor
authors.initials: I
authors.lastname: Medved
authors.forename: Ognjen
authors.initials: O
authors.lastname: Simic
authors.forename: Marina
authors.initials: M
authors.lastname: Bralic
authors.forename: Valter
authors.initials: V
authors.lastname: Stemberga
authors.forename: Miljenko
authors.initials: M
authors.lastname: Kovacevic
authors.forename: Ante
authors.initials: A
authors.lastname: Matana
authors.forename: Alan
authors.initials: A
authors.lastname: Bosnar
mesh_terms: D000368:Aged; D001864:Bone Wires / Q000009:adverse effects*; D002908:Chronic Disease; D017809:Fatal Outcome; D005260:Female; D005548:Foreign-Body Migration / Q000150:complications*; D005593:Fracture Fixation, Internal / Q000009:adverse effects; D006335:Heart Injuries / Q000209:etiology*; D006352:Heart Ventricles; D006801:Humans; D006810:Humeral Fractures / Q000601:surgery; D009102:Multiple Organ Failure / Q000209:etiology; D010496:Pericardium / Q000293:injuries*; D012785:Shoulder Joint