Unusual cause of intraoperative hemoptysis.
We present a rare complication of sternotomy wire removal in a patient with history of coronary artery bypass graft four years prior now undergoing redo sternotomy for aortic valve replacement. Upon removal of the third sternotomy wire the patient experienced hemoptysis from intrapulmonary hemorrhage, requiring that the procedure be aborted; careful review of preoperative computed tomography (CT) demonstrated this sternotomy wire to be traversing through lung parenchyma.
Case Western Reserve University School of Medicine, Cleveland, Ohio.
Jason B
JB
Hartman
Nicholas
N
Bhojwani
Alan H
AH
Markowitz
Robert C
RC
Gilkeson
D000369:Aged, 80 and over; D001021:Aortic Valve / Q000601:surgery; D001026:Coronary Artery Bypass; D019918:Heart Valve Prosthesis Implantation; D006469:Hemoptysis / Q000209:etiology*; D006470:Hemorrhage / Q000150:complications* / Q000000981:diagnostic imaging; D006801:Humans; D016268:Internal Fixators / Q000009:adverse effects*; D007431:Intraoperative Complications / Q000209:etiology*; D008171:Lung Diseases / Q000150:complications* / Q000000981:diagnostic imaging; D008297:Male; D057234:Preoperative Period; D012086:Reoperation; D056346:Sternotomy / Q000009:adverse effects* / Q000379:methods*; D014057:Tomography, X-Ray Computed