Medved Igor, Simic Ognjen, Bralic Marina, Stemberga Valter, Kovacevic Miljenko, Matana Ante, Bosnar Alan
Department of Cardiac Surgery, University Hospital Rijeka, Rijeka, Croatia.
Ann Thorac Surg. 2006 May;81(5):1895-7. doi: 10.1016/j.athoracsur.2005.06.061.
We report a unique case of cardiac embolization with the Kirschner wire that has been used for osteosynthesis for 24 months previously. According to the complete analysis of medical records and autopsy report, the wire had migrated from the right humeroscapular joint to the heart. Although migration of a Kirschner wire has been reported in the literature, migration of the wire with a total length of 13.5 cm with no pericardial tamponade, despite myocardial perforation, has not been previously described.
我们报告了一例罕见的心脏栓塞病例，栓子为一根克氏针，该克氏针此前已用于骨固定术达24个月。根据完整的病历分析和尸检报告，这根针从右肩肱关节迁移至心脏。尽管文献中已有克氏针迁移的报道，但此前尚未描述过一根全长13.5厘米的克氏针在心肌穿孔的情况下却未导致心包填塞而发生迁移的情况。
