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Intraaortic Migration of an Epicardial Pacing Wire: Percutaneous Extraction  Lorenzo Guerrieri Wolf, MD, Raffaele Scaffa, MD, Daniele Maselli, MD, Luca.

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Presentation on theme: "Intraaortic Migration of an Epicardial Pacing Wire: Percutaneous Extraction  Lorenzo Guerrieri Wolf, MD, Raffaele Scaffa, MD, Daniele Maselli, MD, Luca."— Presentation transcript:

1 Intraaortic Migration of an Epicardial Pacing Wire: Percutaneous Extraction 
Lorenzo Guerrieri Wolf, MD, Raffaele Scaffa, MD, Daniele Maselli, MD, Luca Weltert, MD, Saverio Nardella, MD, Mauro Di Roma, MD, Ruggero De Paulis, MD, Fabrizio Tomai, MD  The Annals of Thoracic Surgery  Volume 96, Issue 1, Pages e7-e8 (July 2013) DOI: /j.athoracsur Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 (A) Sagittal computed tomography scan image shows a wirelike structure that migrated into the aortic arch to the origin of the left subclavian artery. The tip and two thirds of the proximal wire are found inside the aortic lumen; the initially subcutaneous part of the wire flush is still in the mediastinum outside the aorta. (B) The transverse view demonstrates the intravascular position of the wire in the ascending aorta (arrow). The Annals of Thoracic Surgery  , e7-e8DOI: ( /j.athoracsur ) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Three-dimensional reconstruction from computed tomography scan shows a direct migration of the temporary epicardial pacing wires through the aortic wall at the level of the distal anastomosis with the posterior part of the graft. (A) Anterior/surgical view. (B) Postprocessing posterior view with right atrium removal. (LA = left atrium.) The Annals of Thoracic Surgery  , e7-e8DOI: ( /j.athoracsur ) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

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