Incidental gossypiboma discovered during tricuspid valve re-repair 11 years after Ebstein anomaly repair.
Heart Surg Forum
; 16(4): E216-8, 2013 Aug 01.
Article
em En
| MEDLINE
| ID: mdl-23958535
ABSTRACT
BACKGROUND:
A retained surgical sponge, an extremely rare occurrence after cardiac surgery, can trigger a granulomatous reaction and form a sizeable mass or gossypiboma. We report the incidental operative finding of a gossypiboma 11 years after repair of Ebstein anomaly. CASE REPORT A 24-year-old man, who had previously undergone tricuspid annuloplasty for Ebstein anomaly 11 years earlier at another institution, was referred for recurrent severe tricuspid regurgitation. During the dissection along the superior vena cava and the right atrium, we entered 2 cystic cavities that exuded a pus-like material, which was sent for culture. Mesh from a retained surgical sponge (gossypiboma) was identified. After complete debridement and administration of vancomycin, the tricuspid valve was repaired. Antibiotics were continued until culture results were confirmed to be negative. The patient's postoperative course was uneventful, and he presented no signs of infection.CONCLUSIONS:
We report a rare case of incidentally found gossypiboma after cardiac surgery.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Insuficiência da Valva Tricúspide
/
Tampões de Gaze Cirúrgicos
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Anuloplastia da Valva Cardíaca
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Corpos Estranhos
Tipo de estudo:
Diagnostic_studies
/
Prognostic_studies
Limite:
Adult
/
Humans
/
Male
Idioma:
En
Ano de publicação:
2013
Tipo de documento:
Article