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Traumatic Bilateral Pneumothoraces due to Sternal Wire Migration.

Imran Hamid U, Gillespie S, Lynchehaun C, Parissis H - Case Rep Med (2012)

Bottom Line: Sternal wound complications after cardiac surgery are associated with increased morbidity and mortality.Wire migrations associated with sternal dehiscence can lead to catastrophic haemorrhage unless intervened in time.We present a case of sternal wire migration causing bilateral pneumothoraces.

View Article: PubMed Central - PubMed

Affiliation: Department of Cardiothoracic Surgery, Royal Victoria Hospital, Belfast BT12 6BA, UK.

ABSTRACT
Sternal wound complications after cardiac surgery are associated with increased morbidity and mortality. Wire migrations associated with sternal dehiscence can lead to catastrophic haemorrhage unless intervened in time. We present a case of sternal wire migration causing bilateral pneumothoraces.

No MeSH data available.


Related in: MedlinePlus

Intraoperative pictures of sternal dehiscence with Lung parenchyma (Arrow A) coming in contact with sternal wire (Arrow B).
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fig3: Intraoperative pictures of sternal dehiscence with Lung parenchyma (Arrow A) coming in contact with sternal wire (Arrow B).

Mentions: He subsequently underwent sternal reconstruction. Intraoperatively, the sternum had completely dehisced; an upper left wire and a middle right wire (Figure 3) were evident protruding into the respective pleural cavities, coming in to contact with lung parenchyma. A third lower wire was confined between the inferior wall of the right ventricle and the diaphragm, to the right of the midline. After removal of these wires, the sternal edges were refashioned, pectoral muscles mobilised, and Robischek repair was carried out. Bilateral pleural, mediastinal, and subcutaneous drains were placed. The postoperative period was uneventful. At sixth-week followup, his sternum is healing well.


Traumatic Bilateral Pneumothoraces due to Sternal Wire Migration.

Imran Hamid U, Gillespie S, Lynchehaun C, Parissis H - Case Rep Med (2012)

Intraoperative pictures of sternal dehiscence with Lung parenchyma (Arrow A) coming in contact with sternal wire (Arrow B).
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3368230&req=5

fig3: Intraoperative pictures of sternal dehiscence with Lung parenchyma (Arrow A) coming in contact with sternal wire (Arrow B).
Mentions: He subsequently underwent sternal reconstruction. Intraoperatively, the sternum had completely dehisced; an upper left wire and a middle right wire (Figure 3) were evident protruding into the respective pleural cavities, coming in to contact with lung parenchyma. A third lower wire was confined between the inferior wall of the right ventricle and the diaphragm, to the right of the midline. After removal of these wires, the sternal edges were refashioned, pectoral muscles mobilised, and Robischek repair was carried out. Bilateral pleural, mediastinal, and subcutaneous drains were placed. The postoperative period was uneventful. At sixth-week followup, his sternum is healing well.

Bottom Line: Sternal wound complications after cardiac surgery are associated with increased morbidity and mortality.Wire migrations associated with sternal dehiscence can lead to catastrophic haemorrhage unless intervened in time.We present a case of sternal wire migration causing bilateral pneumothoraces.

View Article: PubMed Central - PubMed

Affiliation: Department of Cardiothoracic Surgery, Royal Victoria Hospital, Belfast BT12 6BA, UK.

ABSTRACT
Sternal wound complications after cardiac surgery are associated with increased morbidity and mortality. Wire migrations associated with sternal dehiscence can lead to catastrophic haemorrhage unless intervened in time. We present a case of sternal wire migration causing bilateral pneumothoraces.

No MeSH data available.


Related in: MedlinePlus