Migration of sternal wire into ascending aorta

Area of Science:

• Cardiovascular Surgery
• Medical Device Complications

Background:

• Sternal wires are commonly used for sternal closure after cardiac surgery.
• Complications, though rare, can arise from implanted medical devices.

Observation:

• A patient experienced sternal wire migration post-sternotomy.
• The migrated wire penetrated the ascending aorta, posing a significant risk.

Findings:

• Computed tomographic (CT) scan and angiography confirmed wire protrusion into the ascending aorta.
• Successful retrieval of the migrated sternal wire was achieved through median sternotomy.

Implications:

• Highlights the importance of vigilant monitoring for potential sternal wire complications.
• Demonstrates the efficacy of prompt surgical intervention in managing such rare but serious events.