Retained Intrapulmonary Epicardial Pacing Wire Migrates Through Left Hilum

• DOI: 10.1016/j.atssr.2023.03.002
• Publication Date: 2023-03-25T07:09:55Z
• Authors: Matthew Duda; William Parker; Natalie S. Lui
• Keywords: Hilum (anatomy); Sternum

A 70-year-old woman who underwent mitral valve replacement for endocarditis in 2013 and redo recurrent 2014 presented with acute back pain attributable to a distal aortic occlusive thrombus. Chest radiography incidentally demonstrated retained epicardial pacing wire migrating through the left side of chest (Figure 1; white dots denote wire's 2 ends). Computed tomography angiography traversing hilum adjacent superior pulmonary vein main artery 2). Multiplanar reformation 2A) 3-dimensional virtual reality reconstructions 2B) were generated using TeraRecon vessel analysis software (St denotes sternum; Ao ascending aorta; PA artery).Figure 2View Large Image Figure ViewerDownload Hi-res image Download (PPT) The patient recalled that after previous cardiac operation, wires cut at skin rather than removed. There are reports other throughout chest.1Horng G.S. Ashley E. Balsam L. Reitz B. Zamanian R.T. Progressive dyspnea CABG: complication wires.Ann Thorac Surg. 2008; 86: 1352-1354Abstract Full Text PDF PubMed Scopus (25) Google Scholar, 2Worth P.J. Conklin P. Prince Singh A.K. Migration right ventricular into artery: rare heart surgery.J Cardiovasc 2011; 142: e136-e138Abstract (13) 3Guerrieri Wolf Scaffa R. Maselli D. et al.Intraaortic migration an wire: percutaneous extraction.Ann 2013; 96: e7-e8Abstract (15) Scholar Given absence associated symptoms or injury, we deferred removal until requires operation another indication future. authors have no funding sources disclose.