Chronic heart perforation with 13.5 cm long Kirschner wire without pericardial tamponade: an unusual sequelae after shoulder fracture.
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.
Medved
Igor
I
Department of Cardiac Surgery, University Hospital Rijeka, Rijeka, Croatia. igor.medved@ri.t-com.hr
Simic
Ognjen
O
Bralic
Marina
M
Stemberga
Valter
V
Kovacevic
Miljenko
M
Matana
Ante
A
Bosnar
Alan
A
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