Tracheoinnominate artery fistula caused by migration of a Kirschner wire

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

Iatrogenic injury is an underreported but potentially devastating complication of orthopedic wire migration. We report a 48-year-old man with a tracheoinnominate artery fistula caused by migration of a Kirschner wire that was inserted for fixation of a left clavicle fracture nine years before. Following surgical removal of the wire and repair of both trachea and innominate artery, the patient recovered eventually. Although migration of orthopedic wire to the trachea has been reported twice in previous literature, such a complication involving both the trachea and arch vessel was not previously described. Physicians who care for patients with orthopedic wires in place should be aware of migration with tracheoinnominate artery fistula and other iatrogenic injuries as potentially lethal complications.

Original languageEnglish
Pages (from-to)214-216
Number of pages3
JournalEuropean Journal of Cardio-thoracic Surgery
Volume36
Issue number1
DOIs
Publication statusPublished - 2009 Jul 1

Fingerprint

Bone Wires
Trachea
Fistula
Orthopedics
Arteries
Brachiocephalic Trunk
Clavicle
Wounds and Injuries
Patient Care
Physicians

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine
  • Surgery
  • Pulmonary and Respiratory Medicine

Cite this

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title = "Tracheoinnominate artery fistula caused by migration of a Kirschner wire",
abstract = "Iatrogenic injury is an underreported but potentially devastating complication of orthopedic wire migration. We report a 48-year-old man with a tracheoinnominate artery fistula caused by migration of a Kirschner wire that was inserted for fixation of a left clavicle fracture nine years before. Following surgical removal of the wire and repair of both trachea and innominate artery, the patient recovered eventually. Although migration of orthopedic wire to the trachea has been reported twice in previous literature, such a complication involving both the trachea and arch vessel was not previously described. Physicians who care for patients with orthopedic wires in place should be aware of migration with tracheoinnominate artery fistula and other iatrogenic injuries as potentially lethal complications.",
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Tracheoinnominate artery fistula caused by migration of a Kirschner wire. / Wu, Yi Hsuan; Lai, Chao-Han; Luo, Chwan-Yau; Tseng, Yau-Lin.

In: European Journal of Cardio-thoracic Surgery, Vol. 36, No. 1, 01.07.2009, p. 214-216.

Research output: Contribution to journalArticle

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AU - Lai, Chao-Han

AU - Luo, Chwan-Yau

AU - Tseng, Yau-Lin

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AB - Iatrogenic injury is an underreported but potentially devastating complication of orthopedic wire migration. We report a 48-year-old man with a tracheoinnominate artery fistula caused by migration of a Kirschner wire that was inserted for fixation of a left clavicle fracture nine years before. Following surgical removal of the wire and repair of both trachea and innominate artery, the patient recovered eventually. Although migration of orthopedic wire to the trachea has been reported twice in previous literature, such a complication involving both the trachea and arch vessel was not previously described. Physicians who care for patients with orthopedic wires in place should be aware of migration with tracheoinnominate artery fistula and other iatrogenic injuries as potentially lethal complications.

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