The case of migration of a fragment of a Kirchner wire to the ascending aorta
V. V. Semenyuta,
V. V. Rykov,
E. P. Starkov,
E. S. Morozova,
R. V. Elmadzhi,
S. V. Anisimov,
S. B. Nazarov,
A. V. Mykolnikov https://doi.org/10.24884/0042-4625-2023-182-2-64-67
Abstract
Fracture and migration of fragments of a Kirchner wire is a rare but potentially dangerous complication after treatment of clavicle injuries. In the presented clinical case, the fracture of the Kirchner wire occurred 2 months after the fixation of the sternoclavicular joint. The fragment of the Kirchner wire migrated into the anterior mediastinum, penetrated into the ascending aorta with the formation of an anterior mediastinal hematoma and right-sided hemothorax. The fragment of the Kirchner wire was successfully extracted during the operation through median sternotomy. In this case, the Kirchner wire did not damage other structures and was extracted without the use of cardiopulmonary bypass.
About the Authors
V. V. Semenyuta
Republican Clinical and Diagnostic Center
Russian Federation
Competing Interests:
Russian Federation
Semenyuta Vyacheslav V., Cardiovascular Surgeon
87 B, Lenina str., Izhevsk, 426009
Competing Interests:
Конфликт интересов не заявляется
V. V. Rykov
Republican Clinical and Diagnostic Center
Russian Federation
Competing Interests:
Russian Federation
Rykov Vladislav V., Cardiovascular Surgeon
Izhevsk
Competing Interests:
Конфликт интересов не заявляется
E. P. Starkov
Republican Clinical and Diagnostic Center
Russian Federation
Competing Interests:
Russian Federation
Starkov Egor P., Anesthesiologist-Intensivist
Izhevsk
Competing Interests:
Конфликт интересов не заявляется
E. S. Morozova
Republican Clinical and Diagnostic Center
Russian Federation
Competing Interests:
Russian Federation
Morozova Elena S., Cardiologist
Izhevsk
Competing Interests:
Конфликт интересов не заявляется
R. V. Elmadzhi
Republican Clinical and Diagnostic Center
Russian Federation
Competing Interests:
Russian Federation
Elmadzhi Roman V., Cardiovascular Surgeon, Head of the Department of Cardiac Surgery
Izhevsk
Competing Interests:
Конфликт интересов не заявляется
S. V. Anisimov
Republican Clinical and Diagnostic Center
Russian Federation
Competing Interests:
Russian Federation
Anisimov Sergey V., Cardiovascular Surgeon, Head of the Surgical Department
Izhevsk
Competing Interests:
Конфликт интересов не заявляется
S. B. Nazarov
Republican Clinical and Diagnostic Center
Russian Federation
Competing Interests:
Russian Federation
Nazarov Sergey B., Cand. of Sci. (Med.), Cardiovascular Surgeon
Izhevsk
Competing Interests:
Конфликт интересов не заявляется
A. V. Mykolnikov
Republican Clinical and Diagnostic Center
Russian Federation
Competing Interests:
Russian Federation
Mykolnikov Aleksey V., Cardiovascular Surgeon
Izhevsk
Competing Interests:
Конфликт интересов не заявляется
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Semenyuta V.V., Rykov V.V., Starkov E.P., Morozova E.S., Elmadzhi R.V., Anisimov S.V., Nazarov S.B., Mykolnikov A.V. The case of migration of a fragment of a Kirchner wire to the ascending aorta. Grekov's Bulletin of Surgery. 2023;182(2):64-67. (In Russ.) https://doi.org/10.24884/0042-4625-2023-182-2-64-67
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