A review in 1990 by Lyons and Rockwood looked at 39 episodes of orthopedic wire migration following operations on the shoulder girdle. The time from insertion of a K-wire to recognition of migration varied between 5 days and 21 years with a mean of 22 months. The end locations of wire migration were diverse, involving vascular structures (ascending aorta, pulmonary artery, subclavian artery, and the heart itself) in 17 cases, the lung and mediastinum in 10 cases, the spinal column in 5 cases, the right orbit, and the posthepatic retroperitoneal space. This review highlighted the potential gravity of this complication with eight patients dying (six suddenly) of catastrophic cardiovascular events caused by the migration of an orthopedic wire. In one case, the intrathoracic wire migration had been recognized, but the patient died 2 days prior to a scheduled elective thoracotomy to remove the wire.