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Updated: Jan 27, 2026

Electromagnetic Navigation Transthoracic Nodule Localization for Minimally Invasive Thoracic Surgery
Published on: May 4, 2022
Cardiac penetrating injury: a rare complication associated with the lung nodule localization by hookwire
Zhe Shi1, Yuxing Jin1, Chang Chen1
1Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China.
Abstract:
A 48-year-old woman with small lung nodule received transthoracic lung nodule localization by hookwire and subsequent lung resection. At the time of lung nodule localization, computed tomography (CT) scan showed that the localization was successful without any complication. However, cardiac penetrating injury caused by hookwire localizer was unexpectedly observed during surgery. This has occurred because the hookwire was placed too close to the anterior pulmonary vein and became inserted into left ventricle under the influence of blood flow and lung manipulation.
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