成功介入去除肺动脉内移位的胸骨铁丝

Daikichi Meguro MD , Toshihiro Osaki MD, PhD , Soichi Oka MD, PhD , Hiroyuki Ueda MD, PhD , Tatsuji Okada MD , Nobuhisa Ono MD, PhD
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引用次数: 0

摘要

我们报告一个病例,其中一个迁移骨折胸骨金属丝碎片成功地恢复使用介入放射学。在冠状动脉旁路移植术中胸骨正中切口后34个月,一根移位的骨折丝最初进入右心室心肌,然后迁移到右肺动脉,随后进入左肺动脉。计算机断层扫描和血管造影显示金属丝位于A8肺动脉左下叶周围分支。在x线透视下使用鹅颈圈套从A8左肺动脉取出。
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Successful Interventional Removal of a Migrated Sternal Wire in the Pulmonary Artery
We report a case in which a migrated fractured sternal wire fragment was successfully retrieved using interventional radiology. After a median sternotomy for coronary artery bypass grafting, a migrated fracture wire initially strayed into the right ventricular myocardium, then migrated into the right pulmonary artery, and subsequently into the left pulmonary artery, 34 months after coronary artery bypass grafting. Computed tomography and angiography revealed that the wire was located in the peripheral left lower lobe branch of the A8 pulmonary artery. It was retrieved from the A8 left pulmonary artery using a gooseneck snare under X-ray fluoroscopy.
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