A rare case of penetrating lung and cardiac injury due to late migration of  multiple Kirschner-wire after shoulder fracture fixation

Ivan Joalsen; Arif Prasetyo Utomo

doi:10.15562/bmj.v9i1.1461

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A rare case of penetrating lung and cardiac injury due to late migration of multiple Kirschner-wire after shoulder fracture fixation

Ivan Joalsen ,

Arif Prasetyo Utomo ,

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DOI: https://doi.org/10.15562/bmj.v9i1.1461 |
Published: 2020-04-01

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Abstract

Introduction: Penetrating foreign body through lung and cardiac is very uncommon case and may lead to life-threatening complication.

Case: We reported an unusual case of penetrating lung and cardiac injury as a complication of open reduction and internal fixation combined with transfixing wire of right glenohumeral procedure.

Conclusion: The Kirschner wires were successfully extracted by using heart-lung machine (HLM) through thoracotomy and sternotomy approach, consecutively.

Keywords: Penetrating thoracic injury Surgery

References

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Freund E, Nachman R, Gips H. Migration of a Kirschner wire used in the fixation of a subcapital humeral fracture, causing cardiac tamponade: case report and review of literature. Am J Forensic Med Pathol. 2007;28:155â€“156.
Gulcan O, Sezgin AT, Bolat B, et al. Right ventricular penetration and cardiac tamponade as a late complication of Kirschner wire placement in the sternoclavicular joint. Interact Cardiovasc Thorac Surg 2005; 4:295â€“296..
Lyons FA, Rockwood CA Jr. Migration of pins used in operations on the shoulder. J Bone Joint Surg Am 1990;72:1262â€“7
Wu YH, Lai CH, Luo CY, Tseng YL. Tracheoinnominate artery fistula caused by migration of a Kirschner wire. Eur J Cardiothorac Surg. 2009;36(1):214-6.
Mamane W, Breitel D, Lenoir T, Guigui P. Spinal migration of a Kirschner wire after surgery for clavicular nonunion. A case report and review of the literature. Chir Main. 2009;28(6):367-9.
Nakayama M, Gika M, Fukuda H, Yamahata T, Aoki K, Shiba S, et al. Migration of a Kirschner wire from the clavicle into the intrathoracic trachea. Ann Thorac Surg. 2009;88(2):653-4.
Sarper A., Urguden M., Dertsiz L. Intrathoracic migration of Steinman wire: case report. Interact Cardiovasc Thorac Surg. 2003;2:210â€“211.

How to Cite

Joalsen, I., & Utomo, A. P. (2020). A rare case of penetrating lung and cardiac injury due to late migration of multiple Kirschner-wire after shoulder fracture fixation. Bali Medical Journal, 9(1), 44–46. https://doi.org/10.15562/bmj.v9i1.1461