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.
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| http://dx.doi.org/10.1111/j.1540-8191.2009.00955.x | DOI Listing |
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Article Synopsis
- Migration of a fragmented sternal wire is a rare complication after cardiovascular surgery, with clinical symptoms ranging from being asymptomatic to severe hemodynamic instability.* -
- A retrospective review revealed 13 cases of this issue, primarily affecting older men (median age 64), with nearly half experiencing hemorrhagic shock, and most cases presenting either shortly after surgery or years later.* -
- Identifying this complication often involves CT scans, but successful management requires careful attention to the patient's specific situation following diagnosis.*
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