{"title":"成功介入去除肺动脉内移位的胸骨铁丝","authors":"Daikichi Meguro MD , Toshihiro Osaki MD, PhD , Soichi Oka MD, PhD , Hiroyuki Ueda MD, PhD , Tatsuji Okada MD , Nobuhisa Ono MD, PhD","doi":"10.1016/j.atssr.2024.09.013","DOIUrl":null,"url":null,"abstract":"<div><div>We report a case in which a migrated fractured sternal wire fragment was successfully retrieved using interventional radiology. After a median sternotomy for coronary artery bypass grafting, a migrated fracture wire initially strayed into the right ventricular myocardium, then migrated into the right pulmonary artery, and subsequently into the left pulmonary artery, 34 months after coronary artery bypass grafting. Computed tomography and angiography revealed that the wire was located in the peripheral left lower lobe branch of the A8 pulmonary artery. It was retrieved from the A8 left pulmonary artery using a gooseneck snare under X-ray fluoroscopy.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"3 1","pages":"Pages 164-166"},"PeriodicalIF":0.0000,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Successful Interventional Removal of a Migrated Sternal Wire in the Pulmonary Artery\",\"authors\":\"Daikichi Meguro MD , Toshihiro Osaki MD, PhD , Soichi Oka MD, PhD , Hiroyuki Ueda MD, PhD , Tatsuji Okada MD , Nobuhisa Ono MD, PhD\",\"doi\":\"10.1016/j.atssr.2024.09.013\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><div>We report a case in which a migrated fractured sternal wire fragment was successfully retrieved using interventional radiology. After a median sternotomy for coronary artery bypass grafting, a migrated fracture wire initially strayed into the right ventricular myocardium, then migrated into the right pulmonary artery, and subsequently into the left pulmonary artery, 34 months after coronary artery bypass grafting. Computed tomography and angiography revealed that the wire was located in the peripheral left lower lobe branch of the A8 pulmonary artery. It was retrieved from the A8 left pulmonary artery using a gooseneck snare under X-ray fluoroscopy.</div></div>\",\"PeriodicalId\":72234,\"journal\":{\"name\":\"Annals of thoracic surgery short reports\",\"volume\":\"3 1\",\"pages\":\"Pages 164-166\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-03-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Annals of thoracic surgery short reports\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2772993124003747\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Annals of thoracic surgery short reports","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2772993124003747","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Successful Interventional Removal of a Migrated Sternal Wire in the Pulmonary Artery
We report a case in which a migrated fractured sternal wire fragment was successfully retrieved using interventional radiology. After a median sternotomy for coronary artery bypass grafting, a migrated fracture wire initially strayed into the right ventricular myocardium, then migrated into the right pulmonary artery, and subsequently into the left pulmonary artery, 34 months after coronary artery bypass grafting. Computed tomography and angiography revealed that the wire was located in the peripheral left lower lobe branch of the A8 pulmonary artery. It was retrieved from the A8 left pulmonary artery using a gooseneck snare under X-ray fluoroscopy.