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胸骨钢丝移位至右心室:心胸外科病例报告

Migrated sternal wire into the right ventricle: case report in cardiothoracic surgery.

作者信息

Levisman Jeffery, Shemin Richard J, Robertson John M, Pelikan Peter, Karlsberg Ronald P

机构信息

Cardiovascular Research Foundation of Southern California, Beverly Hills, California 90210, USA.

出版信息

J Card Surg. 2010 Mar;25(2):161-2. doi: 10.1111/j.1540-8191.2009.00955.x. Epub 2009 Nov 30.

Abstract

Migrating wires as a result of sternal nonunion present clinical challenges. Cardiac Computed Tomographic Angiography helps locate these wires precisely, enabling detailed surgical planning. Sternal wire migration is an infrequent complication following median sternotomy. It is usually encountered among patients with sternal dehiscence. Understanding the location and spatial relationships of structures to the wire can be challenging. (64 slice) with high spatial and temporal resolution affords the possibility of enhancing presurgical planning.

摘要

胸骨不愈合导致的钢丝移位带来了临床挑战。心脏计算机断层血管造影有助于精确确定这些钢丝的位置,从而实现详细的手术规划。胸骨钢丝移位是正中胸骨切开术后罕见的并发症。它通常发生在胸骨裂开的患者中。了解结构与钢丝的位置及空间关系可能具有挑战性。具有高空间和时间分辨率的(64层)CT能够提升术前规划的可能性。

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