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Chest CT, without contrast, multiplanar reconstructions focusing on the sternal wires, demonstrating a fractured sternal wire puncturing the anterior pericardium in oblique frontal (top left), oblique sagittal (top right), and oblique axial (bottom left) displays. The volume-rendered three-dimensional display (bottom right) carefully highlights the sternal fracture with sharp wires (red circle).

Chest CT, without contrast, multiplanar reconstructions focusing on the sternal wires, demonstrating a fractured sternal wire puncturing the anterior pericardium in oblique frontal (top left), oblique sagittal (top right), and oblique axial (bottom left) displays. The volume-rendered three-dimensional display (bottom right) carefully highlights the sternal fracture with sharp wires (red circle).

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Figure 2 Chest CT, without contrast, multiplanar reconstructions...
Figure 3 Timeline of patient events.
Don’t Tear My Heart: Sternal Wire Pericardial Injury After Aortic Valve Replacement
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  • May 2023
• TTE is a valuable cardiac imaging tool given its availability. • TTE can be used for the evaluation of cardiothoracic surgical complications. • Imaging modalities aid in supplementing information in postoperative patients. • Sternal wire fracture may cause a cardiac laceration.
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Context 1
... hospital day 2, before cardiac surgery, chest computed tomography (CT) without intravenous contrast was performed and revealed mid to lower sternotomy wound dehiscence with several broken wires. One of the fractured wires penetrated the pericardium and pointed directly at the right ventricular (RV) free wall ( Figure 2). ...