Migration of guidewire after surgical breast biopsy: An unusual case report Journal Article


Authors: Seifi, A.; Axelrod, H.; Nascimento, T.; Salam, Z.; Karimi, S.; Avestimehr, S.; Ohebsion, J.
Article Title: Migration of guidewire after surgical breast biopsy: An unusual case report
Abstract: Needle localization of breast lesions is commonly performed for surgical guidance when excising nonpalpable lesions. A few reports have specifically addressed complications associated with needle-localized surgical breast biopsy. We present the first reported case of delayed cardiac injury resulting from migration of a guidewire from a needle-localized breast biopsy that occurred 2 years after the procedure. The patient presented with chest pain and cardiac tamponade. It was found that a hook-wire had penetrated the pericardium and left ventricular myocardium through the aortic valve into the ascending aorta. The diagnosis was made by echocardiogram and computed axial tomography scan and subsequent surgical removal was undertaken successfully. © 2009 Springer Science+Business Media, LLC and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE).
Keywords: anamnesis; case report; computer assisted tomography; tomography, x-ray computed; breast neoplasms; thorax pain; biopsy, needle; laboratory test; hospital discharge; physical examination; echocardiography; pericardium; heart muscle; breast biopsy; heart tamponade; transthoracic echocardiography; cardiac injury; guide wire; needle localized; aorta valve; ascending aorta; heart injury; vital sign; foreign-body migration; heart injuries
Journal Title: CardioVascular and Interventional Radiology
Volume: 32
Issue: 5
ISSN: 0174-1551
Publisher: Springer  
Date Published: 2009-09-01
Start Page: 1087
End Page: 1090
Language: English
DOI: 10.1007/s00270-009-9620-9
PUBMED: 19506948
PROVIDER: scopus
DOI/URL:
Notes: --- - "Export Date: 30 November 2010" - "CODEN: CARAD" - "Source: Scopus"
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  1. Sasan Karimi
    115 Karimi