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断裂的胸骨钢丝移位至肺动脉。

Migration of disrupted sternal wire to the pulmonary artery.

作者信息

Naito Yuji, Suzuki Fumitaka, Murakami Tatsuya

机构信息

Department of Thoracic Surgery, Asahikawa City Hospital, 1-65, Kinsei-Cho 1, Asahikawa, Hokkaido, 070-8610, Japan.

出版信息

Gen Thorac Cardiovasc Surg Cases. 2025 Apr 7;4(1):21. doi: 10.1186/s44215-025-00207-4.

DOI:10.1186/s44215-025-00207-4
PMID:40197537
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11978005/
Abstract

We report a case of sternal wire migration into the pulmonary artery. A 66-year-old man who had undergone thymectomy through median sternotomy 3 years ago was admitted because of a fractured sternal wire in the right pulmonary artery on computed tomography during the postoperative follow-up. It was removed directly from the pulmonary artery under cardiopulmonary bypass. The postoperative course was uneventful. Although migrated sternal wire into the heart or vascular tissue is very rare, care is necessary for its disruption and displacement after sternotomy.

摘要

我们报告一例胸骨钢丝移入肺动脉的病例。一名66岁男性,3年前接受了经正中胸骨切开术的胸腺切除术,术后随访期间因计算机断层扫描显示右肺动脉内胸骨钢丝断裂而入院。在体外循环下直接从肺动脉取出钢丝。术后病程顺利。尽管胸骨钢丝移入心脏或血管组织非常罕见,但胸骨切开术后仍需注意其断裂和移位情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4036/11978005/393041501da1/44215_2025_207_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4036/11978005/c8a3cb9fe059/44215_2025_207_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4036/11978005/393041501da1/44215_2025_207_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4036/11978005/c8a3cb9fe059/44215_2025_207_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4036/11978005/393041501da1/44215_2025_207_Fig2_HTML.jpg

相似文献

1
Migration of disrupted sternal wire to the pulmonary artery.断裂的胸骨钢丝移位至肺动脉。
Gen Thorac Cardiovasc Surg Cases. 2025 Apr 7;4(1):21. doi: 10.1186/s44215-025-00207-4.
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本文引用的文献

1
Migrated sternal wire into the right ventricle: case report in cardiothoracic surgery.胸骨钢丝移位至右心室:心胸外科病例报告
J Card Surg. 2010 Mar;25(2):161-2. doi: 10.1111/j.1540-8191.2009.00955.x. Epub 2009 Nov 30.
2
Cardiac tamponade presenting to the emergency department after sternal wire disruption.胸骨钢丝断裂后出现于急诊科的心脏压塞。
Emerg Med J. 2004 May;21(3):389-90. doi: 10.1136/emj.2003.005033.
3
Intravascular migration of fractured sternal wire presenting with hemoptysis.断裂胸骨钢丝血管内迁移导致咯血
Ann Thorac Surg. 2001 May;71(5):1682-4. doi: 10.1016/s0003-4975(00)02311-0.
4
Wandering wires: frequency of sternal wire abnormalities in patients with sternal dehiscence.游走钢丝:胸骨裂开患者胸骨钢丝异常的发生率
AJR Am J Roentgenol. 1999 Sep;173(3):777-80. doi: 10.2214/ajr.173.3.10470922.