Fractured Metal Wire in the Right Ventricle, a Cause of Cardiac Tamponade (original) (raw)
Related papers
Intravascular migration of a broken cerclage wire into the left heart
Orthopedics, 2014
This article describes a patient in whom a broken cerclage wire migrated from the left hip into the left ventricle. A 71-year-old woman was admitted to the authors' hospital for preoperative examination before femoral hernia repair. Chest radiograph showed a metallic wire in the left ventricle. Twenty-four years earlier, she had a revision arthroplasty. During revision surgery, fragments of the osteotomy were fixed to the femur with multiple cerclage wires. During the past 5 years, radiographic follow-up showed progressive multiple ruptures of cerclage wires. The cerclage wiring was not removed because the patient had no related clinical symptoms. Radiograph of the left hip showed a well-fixed cemented acetabular ring and an uncemented femoral stem with a healed trochanteric osteotomy. All cerclage wires were broken into multiple parts, and it was very difficult to determine which part had migrated into the heart. Thoracic computed tomography scan showed wire that had migrated i...
Current Research: Cardiology, 2015
A 43-year-old woman underwent coronary angioplasty for refractory angina of a critical lesion of the proximal left anterior descending artery. After negotiating with spring-type wire (balance middle-weight wire), a loop was formed. Due to excessive manipulation to unloop the wire, it partially fractured at the shaft and coil junction. As the proximal section was retrieved, a thin elongated filament of spring coil also came out from the Y-connector while the remainder of the coil was still trapped in the lesion. Two balance middle-weight wires were then placed distally, and the proximal ends of both wires were inserted together in a torque device, which were firmly screwed and rotated 45 to 55 times in a circular pattern. During this rotational motion, the broken segment along with thin filament was tangled within these rescue wires and all three wires were removed together using tangling technique. Following this, angioplasty was performed successfully. After reviewing the literature using PubMed, to the authors' knowledge, this is the first incident of its kind to be reported.
Journal of Heart and Circulation, 2016
We herein describe a case of coronary microleak secondary to possible wire tip induced injury during percutaneous coronary intervention (PCI) successfully closed with intra arterial glue but secondarily ending in a contained myocardial rupture with continued and repeated leak leading to fresh repeated cardiac tamponade, an observation not so commonly noted. The surgical findings confirming the contained myocardial rupture and its final salvage are described.
Cardiac Perforation Complicated by Cardiac Tamponade and Sealed With Metallic Coils
Revista Espanola De Cardiologia, 2004
Distal coronary artery perforation with an angioplasty guidewire is a rare complication that may cause cardiac tamponade, myocardial infarction, arrhythmia, and even death. The use of platelet IIb/IIIa glycoprotein receptor inhibitors increases the risk of potentially fatal complications that are difficult to manage. We report a patient on treatment with abciximab who presented coronary perforation in a distal branch of the right coronary artery caused by the coronary guidewire tip, and complicated by acute cardiac tamponade. Blood extravasation to the pericardium was stopped by releasing two metallic coils into the distal vessel, thereby avoiding the need for emergent cardiac surgery.
Extraction of Free Floating Peacemaker Wire in Right Ventricle
Indonesian Journal of Cardiology, 2013
We are reporting a case of lead extraction from a woman who has been implanted permanent pacemaker (PPM), and later has a complication of local site infection and infective endocarditis. She had multiplelocal debridement procedures, generator removal, and multiple cable amputations.Her PPM wire was free-floating inside the right ventricle (RV). Lead extraction was done successfully using a snare catheter and a long sheath.
Right Ventricle Perforation Post Pacemaker Insertion Complicated with Cardiac Tamponade
Cureus, 2018
Pacemaker-lead-associated right ventricular perforation is a life-threatening complication. Acute perforation usually presents within 24 hours. Patients with lead perforation are often asymptomatic but fatal complications like hemopericardium, leading to cardiac tamponade and death, are reported. Diagnosis is based on chest x-ray, computed tomography (CT) scan, and echocardiography. The management of the lead perforation is based on clinical presentation. Extraction is avoided in cases of chronic asymptomatic lead perforations because of the associated complications. Urgent intervention is needed in hemodynamically unstable patients with pericardial effusion or cardiac tamponade physiology.