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Electromagnetic Navigation Transthoracic Nodule Localization for Minimally Invasive Thoracic Surgery
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Transmediastinal migration of Kirschner wire.

Evaldo Marchi1, Marcio P Reis, Marcus V Carvalho

  • 1Thoracic Surgery, Jundiaí Medical College, Jundiai, Sao Paulo, Brazil. evmarchi@uol.com.br

Interactive Cardiovascular and Thoracic Surgery
|July 29, 2008
PubMed
Summary

A Kirschner wire migrated through the chest and into the lung after clavicle repair. This rare transmediastinal migration required surgical removal, highlighting risks of metallic fixation pins.

Area of Science:

  • Medical Case Report
  • Thoracic Surgery
  • Orthopedic Surgery

Background:

  • Kirschner wires are commonly used for orthopedic fracture fixation.
  • Intrathoracic migration of these wires is a known, albeit rare, complication.
  • Previous reports have documented wires lodging in various thoracic structures.

Observation:

  • A case of a Kirschner wire migrating from the left clavicle fixation site.
  • The wire traversed the mediastinum and lodged within the right lung.
  • This represents a previously undescribed route of migration.

Findings:

  • Successful retrieval of the migrated Kirschner wire via right thoracotomy.
  • The procedure was performed without immediate complications.
  • The wire's transmediastinal path is a novel finding in medical literature.

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Implications:

  • Highlights the potential for unusual migration patterns of orthopedic fixation devices.
  • Alerts clinicians to the risks associated with metallic pins used in thoracic or nearby skeletal repairs.
  • Emphasizes the importance of vigilance and awareness of rare complications in orthopedic and thoracic procedures.