{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T15:15:58Z","timestamp":1773155758317,"version":"3.50.1"},"reference-count":13,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,6,16]],"date-time":"2021-06-16T00:00:00Z","timestamp":1623801600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,6,16]],"date-time":"2021-06-16T00:00:00Z","timestamp":1623801600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Surg"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Migration of wires and pins within the heart is an uncommon complication. Intracardic migration of Kirschner wire can cause several complications.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>A 55-year-old male patient was admitted to the emergency service with dyspnea, stabbing chest pain. The patient\u2019s medical history showed that he had undergone a fixation operation using Kirschner wire and plate for treatment of the right sternoclavicular joint dislocation about 5 months prior. Chest computerized tomography revealed a metallic foreign body locating in the pericardium between the aorta and the right ventricle. There were not any serious complications occurred before operation due to the timely detection of potential risks. Removal of the wire was performed via median sternotomy under general anesthesia without cardiopulmonary bypass. The symptoms of dyspnea and chest pain were relieved after surgery, and the patient recovered without any complications.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>The Kirschner wire should be used judiciously in amphiarthrosis in orthopedic surgery for the risk of breakage and migration. The possibility of intracardiac migration of wire should be considered when chest symptoms presenting after surgery with the Kirschner wire. Migrated wires must be removed immediately to prevent serious complications. Regular follow-up and early removal of fixation wires are recommended to prevent migration of wires.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12893-021-01292-2","type":"journal-article","created":{"date-parts":[[2021,6,16]],"date-time":"2021-06-16T10:03:22Z","timestamp":1623837802000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Intracardic migration of Kirschner wire from the right sternoclavicular joint: a case report"],"prefix":"10.1186","volume":"21","author":[{"given":"Peng","family":"Wang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cong","family":"Chen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bo","family":"Liu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaokang","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wei","family":"Jiang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiangquan","family":"Chu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,6,16]]},"reference":[{"issue":"8","key":"1292_CR1","doi-asserted-by":"publisher","first-page":"1262","DOI":"10.2106\/00004623-199072080-00023","volume":"72","author":"FA Lyons","year":"1990","unstructured":"Lyons FA, Rockwood CA Jr. Migration of pins used in operations on the shoulder. J Bone Joint Surg Am. 1990;72(8):1262\u20137.","journal-title":"J Bone Joint Surg Am"},{"issue":"2","key":"1292_CR2","doi-asserted-by":"publisher","first-page":"155","DOI":"10.1097\/PAF.0b013e31806195a1","volume":"28","author":"E Freund","year":"2007","unstructured":"Freund E, Nachman R, Gips H, Hiss J. Migration of a K-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(2):155\u20136.","journal-title":"Am J Forensic Med Pathol"},{"issue":"2","key":"1292_CR3","doi-asserted-by":"publisher","first-page":"327","DOI":"10.33314\/jnhrc.v18i2.2515","volume":"18","author":"R Tamrakar","year":"2020","unstructured":"Tamrakar R, Chapagain D. Migration of a broken K-wire from lateral end of clavicle to the cervical spine. J Nepal Health Res Counc. 2020;18(2):327\u20139.","journal-title":"J Nepal Health Res Counc"},{"issue":"1","key":"1292_CR4","doi-asserted-by":"publisher","first-page":"375","DOI":"10.1186\/s13256-019-2279-1","volume":"13","author":"HY Kop","year":"2019","unstructured":"Kop HY, Lee KW. Contralateral migration of K-wire from right acromioclavicular joint to left side of neck: a case report. J Med Case Rep. 2019;13(1):375.","journal-title":"J Med Case Rep"},{"key":"1292_CR5","doi-asserted-by":"publisher","first-page":"325","DOI":"10.12659\/AJCR.908014","volume":"19","author":"\u00c9L Reghine","year":"2018","unstructured":"Reghine \u00c9L, Cirino CCI, Neto AA, Varallo FR, \u00c9vora PRB, de Nadai TR. Clavicle K-wire migration into left lung: a case report. Am J Case Rep. 2018;19:325\u20138.","journal-title":"Am J Case Rep"},{"key":"1292_CR6","doi-asserted-by":"publisher","first-page":"18","DOI":"10.1016\/j.ijso.2018.04.003","volume":"11","author":"KA Irianto","year":"2018","unstructured":"Irianto KA, Edward M, Fiandana A. K-wire migration to unexpected site. Int J Surg Open. 2018;11:18\u201321.","journal-title":"Int J Surg Open"},{"key":"1292_CR7","doi-asserted-by":"publisher","first-page":"100425","DOI":"10.1016\/j.tcr.2021.100425","volume":"32","author":"AJ van Hasselt","year":"2021","unstructured":"van Hasselt AJ, Hooghof JT, Huizinga MR, van Raay JJAM. Intrathoracic migration of a K-wire after percutaneous fixation of a proximal humerus fracture. Trauma Case Rep. 2021;32:100425.","journal-title":"Trauma Case Rep"},{"issue":"10","key":"1292_CR8","doi-asserted-by":"publisher","first-page":"e932-5","DOI":"10.3928\/01477447-20140924-90","volume":"37","author":"F Leonardi","year":"2014","unstructured":"Leonardi F, Rivera F. Intravascular migration of a broken cerclage wire into the left heart. Orthopedics. 2014;37(10):e932-5.","journal-title":"Orthopedics"},{"issue":"2","key":"1292_CR9","doi-asserted-by":"publisher","first-page":"365","DOI":"10.1111\/echo.12795","volume":"32","author":"M Leitman","year":"2015","unstructured":"Leitman M, Vered Z. Foreign bodies in the heart. Echocardiography. 2015;32(2):365\u201371.","journal-title":"Echocardiography"},{"issue":"4","key":"1292_CR10","doi-asserted-by":"publisher","first-page":"205","DOI":"10.5761\/atcs.cr.17-00117","volume":"24","author":"DH Supomo","year":"2018","unstructured":"Supomo DH. An unusual foreign body in the heart: a case report. Ann Thorac Cardiovasc Surg. 2018;24(4):205\u20137.","journal-title":"Ann Thorac Cardiovasc Surg"},{"issue":"6","key":"1292_CR11","doi-asserted-by":"publisher","first-page":"704","DOI":"10.1111\/jocs.12005","volume":"27","author":"X Wang","year":"2012","unstructured":"Wang X, Zhao X, Du D, Xiang X. Management of metallic foreign bodies in the heart. J Card Surg. 2012;27(6):704\u20136.","journal-title":"J Card Surg"},{"issue":"11","key":"1292_CR12","doi-asserted-by":"publisher","first-page":"e260","DOI":"10.1097\/BOT.0b013e318290f818","volume":"27","author":"R Firoozabadi","year":"2013","unstructured":"Firoozabadi R, Kramer PA, Benirschke SK. K-wire bending. J Orthop Trauma. 2013;27(11):e260-3.","journal-title":"J Orthop Trauma"},{"issue":"3","key":"1292_CR13","doi-asserted-by":"publisher","first-page":"e77","DOI":"10.2106\/JBJS.CC.16.00032","volume":"6","author":"WF Pientka","year":"2016","unstructured":"Pientka WF 2, Bates CM, Webb BG. Asymptomatic migration of a K-wire from the proximal aspect of the humerus to the thoracic cavity: a case report. JBJS Case Connect. 2016;6(3):e77.","journal-title":"JBJS Case Connect"}],"container-title":["BMC Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12893-021-01292-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12893-021-01292-2\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12893-021-01292-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,6,16]],"date-time":"2021-06-16T10:05:57Z","timestamp":1623837957000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcsurg.biomedcentral.com\/articles\/10.1186\/s12893-021-01292-2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,6,16]]},"references-count":13,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["1292"],"URL":"https:\/\/doi.org\/10.1186\/s12893-021-01292-2","relation":{},"ISSN":["1471-2482"],"issn-type":[{"value":"1471-2482","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,6,16]]},"assertion":[{"value":"17 May 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"10 June 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"16 June 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The patient provides informed consent, which was registered in the medical record.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"The patient provided his consent for reporting both the clinical data and diagnostic images.  Written consent was obtained from studying participants. A copy of the written consent is available for review by the editor of this journal.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"294"}}