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Fractured Sternotomy Wire Migration into Right Ventricle

Imaging findings

Follow-up radiograph and chest CT show a fractured segment of a sternotomy wire that has migrated posteriorly through the anterior chest wall and is lodged within the right ventricular myocardium.

Key takeaways

Fractured sternotomy wires can migrate into adjacent tissues or vascular structures, representing a rare but severe complication. Early detection and surgical removal are required to prevent myocardial laceration, tamponade, or vascular injury.

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