Detection of retained surgical sponge by transthoracic and transesophageal echocardiography.
We describe an unusual case of extracardiac mass in a patient who was assymptomatic and submitted to an open-chest coronary artery bypass operation 5 years previously. Transthoracic and transesophageal echocardiography revealed a rounded mass compressing the right atrium with a thick contour surrounding a heterogeneous center, suggestive of foreign body. Magnetic resonance imaging identified the mass as a pericardial cyst. Operation revealed a fibrinous cyst encapsulating a sponge. This case illustrates the central role of echocardiography for the diagnosis and treatment of patients with suspected retained surgical sponges.
Tsutsui
Jeane Mike
JM
Hueb
Whady Armindo
WA
Nascimento
Silvio Alves
SA
Borges Leal
Samira Morhy
SM
de Andrade
José Lázaro
JL
Mathias
Wilson
W
D002908:Chronic Disease; D001026:Coronary Artery Bypass; D003324:Coronary Artery Disease / Q000175:diagnosis / Q000601:surgery; D003937:Diagnosis, Differential; D004452:Echocardiography; D017548:Echocardiography, Transesophageal; D005549:Foreign-Body Reaction / Q000175:diagnosis / Q000209:etiology*; D006325:Heart Atria / Q000000981:diagnostic imaging; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008476:Mediastinal Cyst / Q000175:diagnosis / Q000209:etiology; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology; D011859:Radiography; D015503:Surgical Sponges / Q000009:adverse effects*