Chronic Perforation of the Aortic Arch by Kirschner Wires

Abstract Perforation of the heart or great vessels by orthopedic wires is a rare complication that mostly results in severe or even lethal organ injury. Therefore, such conditions mostly require immediate surgical removal of the wires. However, in some individual cases, a conservative approach may b...

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Main Authors: T. Dung Nguyen, Tim Sandhaus, Torsten Doenst
Format: Article
Language:English
Published: Georg Thieme Verlag KG 2016-06-01
Series:The Thoracic & Cardiovascular Surgeon Reports
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0036-1584268
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author T. Dung Nguyen
Tim Sandhaus
Torsten Doenst
author_facet T. Dung Nguyen
Tim Sandhaus
Torsten Doenst
author_sort T. Dung Nguyen
collection DOAJ
description Abstract Perforation of the heart or great vessels by orthopedic wires is a rare complication that mostly results in severe or even lethal organ injury. Therefore, such conditions mostly require immediate surgical removal of the wires. However, in some individual cases, a conservative approach may be preferable. We describe a case of a 70-year-old woman whose aortic arch has been penetrated by two Kirschner wires used for fixation of a right clavicle fracture 13 years ago. Notably, the complication was an incidental finding during computed tomography angiography for clarification of transient nonspecific neurological symptoms.
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spelling doaj.art-c497242dc702418e8f70f114a610a2872022-12-22T01:13:01ZengGeorg Thieme Verlag KGThe Thoracic & Cardiovascular Surgeon Reports2194-76352194-76432016-06-010501656710.1055/s-0036-1584268Chronic Perforation of the Aortic Arch by Kirschner WiresT. Dung Nguyen0Tim Sandhaus1Torsten Doenst2Department of Cardiothoracic Surgery, Jena University Hospital, Friedrich Schiller University Jena, Jena, GermanyDepartment of Cardiothoracic Surgery, Jena University Hospital, Friedrich Schiller University Jena, Jena, GermanyDepartment of Cardiothoracic Surgery, Jena University Hospital, Friedrich Schiller University Jena, Jena, GermanyAbstract Perforation of the heart or great vessels by orthopedic wires is a rare complication that mostly results in severe or even lethal organ injury. Therefore, such conditions mostly require immediate surgical removal of the wires. However, in some individual cases, a conservative approach may be preferable. We describe a case of a 70-year-old woman whose aortic arch has been penetrated by two Kirschner wires used for fixation of a right clavicle fracture 13 years ago. Notably, the complication was an incidental finding during computed tomography angiography for clarification of transient nonspecific neurological symptoms.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0036-1584268kirschner wiresaortic archperforationconservative approach
spellingShingle T. Dung Nguyen
Tim Sandhaus
Torsten Doenst
Chronic Perforation of the Aortic Arch by Kirschner Wires
The Thoracic & Cardiovascular Surgeon Reports
kirschner wires
aortic arch
perforation
conservative approach
title Chronic Perforation of the Aortic Arch by Kirschner Wires
title_full Chronic Perforation of the Aortic Arch by Kirschner Wires
title_fullStr Chronic Perforation of the Aortic Arch by Kirschner Wires
title_full_unstemmed Chronic Perforation of the Aortic Arch by Kirschner Wires
title_short Chronic Perforation of the Aortic Arch by Kirschner Wires
title_sort chronic perforation of the aortic arch by kirschner wires
topic kirschner wires
aortic arch
perforation
conservative approach
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0036-1584268
work_keys_str_mv AT tdungnguyen chronicperforationoftheaorticarchbykirschnerwires
AT timsandhaus chronicperforationoftheaorticarchbykirschnerwires
AT torstendoenst chronicperforationoftheaorticarchbykirschnerwires