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A Huge Pericardial Gossypiboma Causing Severe Cardiac Dysfunction

Won Kyung Pyo1, Wan Kee Kim1, Joon Bum Kim1

  • 1Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.

The Annals of Thoracic Surgery
|August 11, 2019
PubMed

Insights

Gossypiboma, a retained surgical sponge, is a rare complication. A large pericardial gossypiboma caused severe cardiac dysfunction 30 years after cardiac surgery, highlighting its potential for serious medical consequences.

Area of Science:

  • Cardiology
  • Surgical Complications
  • Medical Imaging

Background:

  • Gossypiboma, a retained surgical sponge, is a rare postoperative complication.
  • It is particularly uncommon following cardiac surgery, often presenting years later.

Observation:

  • A patient presented with severe cardiac dysfunction.
  • A huge pericardial gossypiboma was detected 30 years after prior cardiac surgery.

Findings:

  • The pericardial gossypiboma was the cause of the patient's severe cardiac dysfunction.
  • This case highlights the significant, delayed impact of gossypiboma.

Implications:

  • Gossypiboma should be considered in the differential diagnosis of pericardial masses in patients with a history of cardiac surgery.
  • Early recognition and management are crucial to prevent severe cardiac complications.

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