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Related Experiment Videos

A different intracardiac mass: retained sponge.

Yildirim Imren1, Irfan Tasoglu, Zerrin Ozkose

  • 1Department of Cardiovascular Surgery, Gazi University Medical Faculty, Ankara, Turkey. yimren@gazi.edu.tr

Echocardiography (Mount Kisco, N.Y.)
|April 28, 2006
PubMed
Summary

A surgical sponge was unintentionally retained in the left ventricle after aortic valve replacement surgery. Transesophageal echocardiography diagnosed the retained surgical sponge, complicating patient recovery from cardiopulmonary bypass.

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Area of Science:

  • Cardiovascular Surgery
  • Medical Device Complications
  • Diagnostic Imaging

Background:

  • Aortic valve replacement is a critical cardiac procedure.
  • Retained surgical items are rare but serious complications in surgery.
  • Managing calcified debris during aortic valve replacement requires careful technique.

Observation:

  • A surgical sponge was intentionally placed in the left ventricle during aortic valve replacement.
  • The sponge was intended to prevent calcified debris from entering the ventricular cavity.
  • The sponge was inadvertently left within the patient post-procedure.

Findings:

  • A retained surgical sponge was identified in the left ventricle.
  • Diagnosis was achieved using transesophageal echocardiography.

Related Experiment Videos

  • The retained sponge complicated the patient's ability to be weaned from cardiopulmonary bypass.
  • Implications:

    • Retained surgical sponges can lead to significant patient morbidity.
    • Transesophageal echocardiography is a valuable tool for diagnosing retained surgical items.
    • Enhanced surgical protocols are necessary to prevent retained surgical items during cardiac procedures.