Roy Christopher G, Pozzessere Nicholas A
Maine Medical Center, Department of Pulmonary Disease and Critical Care Medicine, USA.
Respir Med Case Rep. 2022 Mar 14;37:101624. doi: 10.1016/j.rmcr.2022.101624. eCollection 2022.
Our patient was incidentally discovered to have a filamentous foreign object penetrating his left mainstem bronchus during EBUS, with subsequent successful forceps extraction. Temporary epicardial pacing wires (TEPW) are commonly retained during coronary artery bypass surgery. Significant migration of these wires is extremely rare, and in certain instances of airway penetration they are amenable to extraction by bronchoscopy. The risk factors for significant migration, and potential consequences of such events are not well understood currently. Elucidating these elements should be of great interest to cardiac surgery, thoracic surgery, and pulmonary medicine.
我们的患者在超声支气管镜检查（EBUS）期间偶然发现有一根丝状异物穿透其左主支气管，随后用钳子成功取出。冠状动脉搭桥手术期间通常会留置临时心外膜起搏导线（TEPW）。这些导线发生明显移位极为罕见，在某些气道穿透的情况下，可以通过支气管镜检查取出。目前，对于明显移位的危险因素以及此类事件的潜在后果尚不清楚。阐明这些因素应该会引起心脏外科、胸外科和肺科的极大兴趣。
