An unusual intracardiac image.

Area of Science:

• Cardiovascular Surgery
• Pediatric Cardiology
• Medical Imaging

Background:

• Unintentional retained surgical foreign bodies are a known complication in cardiovascular procedures.
• Complications in pediatric patients are less frequently documented than in adults.
• Previous cardiac surgery for patent ductus arteriosus and aortic stenosis can be a precursor.

Observation:

• A 14-year-old girl presented with cyanosis and dyspnea.
• Imaging revealed a cystic heart image.
• The image was associated with a cardiac iatrogenic foreign body.

Findings:

• The iatrogenic foreign body was linked to a prior surgery 13 years ago.
• The foreign body resulted in a cystic cardiac mass.
• The patient's symptoms of cyanosis and dyspnea were attributed to this complication.

Implications:

• This case underscores the importance of vigilance for retained surgical materials, even years after procedures.
• It highlights the potential for delayed and serious complications in pediatric cardiovascular surgery.
• Accurate diagnosis and management are crucial for improving outcomes in such rare pediatric cases.