• J Cardiovasc Comput Tomogr · Jan 2011

    Case Reports

    Guidewire embolization and right ventricular perforation visualized by cardiac CT.

    • Emil M deGoma, Neil J Goldberg, and Ronald P Karlsberg.
    • Division of Cardiovascular Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA. Emil.deGoma@uphs.upenn.edu
    • J Cardiovasc Comput Tomogr. 2011 Jan 1;5(1):61-2.

    AbstractA 60-year-old physician with a history of septic arthritis presented with chest pain. Initial studies including an electrocardiogram, chest x-ray, and transthoracic echocardiogram were non-diagnostic. Cardiac CT demonstrated perforation of the right ventricle from a retained wire stylus. Our case highlights the clinical utility of CT in diagnosing migration of devices through the cardiac chambers, evaluating for associated sequelae, including hemopericardium and other perforated structures, and defining the complete course of the device, thereby facilitating safe extraction.Copyright © 2011 Society of Cardiovascular Computed Tomography. Published by Elsevier Inc. All rights reserved.

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