Table 1.
Summary of the reported cases on intrapericardial migration of sternal wires or struts following open PE repair.
| Author | Age (yrs) |
Repair procedure | Migrated metal material | Injured structurs | Time of complication after repair (yrs) | Presenting symptoms | Surgical treatment | Approach | CPB | Outcome |
|---|---|---|---|---|---|---|---|---|---|---|
| Elami et al. 19918 | 12 | Liebermann procedure | Struts | Right atrium | 2 | Sudden chest pain and dyspnoea | Removal of parts of the metal plate and suture of the right atrium | Sternotomy | Steady-state | Survived |
| Dalrymple-Hay et al. 19971 | 19 | Ravitch | Struts | Right and left ventricular cavities | 3/4 | Progressive lower limb ischemia | Removal of the struts via aortotomy and atriotomy | Sternotomy | Yes | Survived |
| Onursal et al. 19993 | 18 | Ravitch | Struts | Right ventricle | 4 | Stabbing chest pain | Removal of the steel struts followed by pledgeted sutures | Right anterior thoracotomy | Steady-state | Survived |
| Barakat et al. 20047 | 24 | Morgan procedure | Wires | Epicardium | 2 | Cardiac tamponade | Removal of some wires | Sternotomy | Not mentioned | Survived |
| Mieno et al. 20106 | 34 | "sternal turnover" | Wires | Ascending aorta | 28 | Sudden chest pain | Resection and replacement of ascending aorta | Sternotomy | Yes | Survived |
| Present case report | 53 | Ravitch | Struts | Right ventricle, RVOT and left upper lobe bronchus | 37 | Progressive dyspnoea and malaise | Removal of the struts via ventriculotomy | Left anterior thoracotomy | Yes | Survived |
RVOT = Right ventricular outflow tract; CPB = Cardiopulmonary bypass.