Calcified postoperative epicardial granuloma.
A sterile calcified granuloma on the external surface of a right ventriculotomy in an 8-year-old boy was identified four years after closure of a ventricular septal defect; He had no symptoms, but a systolic ejection murmur was identified and disappeared after resection of the lesion. Sensitivity to silk suture material is suggested by the operative findings and a history of multiple silk suture sinuses developing in his uninfected original thoracotomy incision.
D002114:Calcinosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006348:Cardiac Surgical Procedures / Q000009:adverse effects*; D002648:Child; D005549:Foreign-Body Reaction / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D006345:Heart Septal Defects, Ventricular / Q000601:surgery*; D006801:Humans; D008297:Male; D011859:Radiography; D013537:Sutures / Q000009:adverse effects*