Successful removal of an intra-pericardic Kirschner wire via fluoroscopy-guided minimal invasive approach: a case report.
Surg Case Rep
; 10(1): 57, 2024 Mar 11.
Article
em En
| MEDLINE
| ID: mdl-38466481
ABSTRACT
BACKGROUND:
Kirschner wires are widely used in trauma surgery. Their migration into the pericardium is a rare but often fatal phenomenon, requiring urgent management. CASE PRESENTATION We describe the case of a 65-year-old patient who underwent Kirschner wire placement to treat a humeral head fracture. Three months after the operation, pleural and pericardial effusions with cardiac tamponade were observed, leading to the diagnosis of wire migration within the pericardium. A minimally invasive approach guided by fluoroscopy allowed emergency wire extraction without needing a median sternotomy. The postoperative clinical course was uncomplicated.CONCLUSIONS:
The use of pre- and per-operative multimodal imaging allowed for the safe extraction of an intra-pericardial Kirschner wire through a minimally invasive approach.
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MEDLINE
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En
Ano de publicação:
2024
Tipo de documento:
Article