Thoracoscopic Management of a Pericardial Migration of a Breast Biopsy Localization Wire

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Intrathoracic migration of a breast biopsy localization wire is relatively rare and most of the wires end up in the pleural cavity. We report the first case of almost total intrapericardial migration of a monofilament hooked wire that was lost during the breast biopsy procedure. The case was successfully managed by video-assisted thoracoscopic surgery. Postulated mechanisms of migration of such wires are reviewed and a new mechanism is proposed.

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