After median sternotomy and pericardiotomy surgeons could observe an
externalized guidewire on the lower wall, on the way to the PLA that was
partially removed through the inferior heart wall (total extension of 17
cm) (figure 3).
A B
Figure 3- Manual extraction of guide wire after pericardiotomy (A).
Extenson of extracted guidewire (B).
Concurrently during intraoperative transesophageal ecocardiography it
was observed a hyperechogenic filamental structure along the ascending
aorta (figure 4 ).