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The Clinical Picture

Dancing sternal wires: A radiologic sign of sternal dehiscence

Mohamed M. Gad, MD and Amit Gupta, MD
Cleveland Clinic Journal of Medicine February 2019, 86 (2) 87-88; DOI: https://doi.org/10.3949/ccjm.86a.18091
Mohamed M. Gad
Research Fellow, Department of Cardiovascular Medicine, Heart and Vascular Institute, Cleveland Clinic
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Amit Gupta
Clinical Assistant Professor, Department of Radiology, Division of Cardiothoracic Imaging, University Hospitals Cleveland Medical Center, Case Western Reserve University, Cleveland, OH
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  • For correspondence: amit.gupta@uhhospitals.org
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    Figure 1

    Radiography immediately after surgery showed cardiac tamponade, which led to repeat sternotomy with mediastinal washout.

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    Figure 2

    On postoperative day 4, midline sternal lucency and a slight leftward deviation of the second- from-the-lowest sternal wire (arrow)—early signs of dehiscence—resulted in mild loss of alignment.

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    Figure 3

    On postoperative day 5, the widely separated sternal wires indicated advanced sternal dehiscence.

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Cleveland Clinic Journal of Medicine: 86 (2)
Cleveland Clinic Journal of Medicine
Vol. 86, Issue 2
1 Feb 2019
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Dancing sternal wires: A radiologic sign of sternal dehiscence
Mohamed M. Gad, Amit Gupta
Cleveland Clinic Journal of Medicine Feb 2019, 86 (2) 87-88; DOI: 10.3949/ccjm.86a.18091

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Dancing sternal wires: A radiologic sign of sternal dehiscence
Mohamed M. Gad, Amit Gupta
Cleveland Clinic Journal of Medicine Feb 2019, 86 (2) 87-88; DOI: 10.3949/ccjm.86a.18091
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