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巨大的心包棉絮瘤导致严重的心功能障碍。

A Huge Pericardial Gossypiboma Causing Severe Cardiac Dysfunction.

机构信息

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

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

出版信息

Ann Thorac Surg. 2020 Mar;109(3):e167-e169. doi: 10.1016/j.athoracsur.2019.06.040. Epub 2019 Aug 7.

Abstract

Gossypiboma-a surgical cotton matrix inadvertently left in the body cavity-is a rare postoperative complication, especially after cardiac surgery. We report a patient who presented with severe cardiac dysfunction caused by a huge pericardial gossypiboma that was detected 30 years after the previous cardiac surgery. This case delineates the serious medical consequences caused by pericardial gossypiboma and suggests considering gossypiboma as a differential diagnosis of a pericardial mass in patients with a history of cardiac surgery.

摘要

纱布遗留-手术中遗留的医用棉垫在体腔中是一种罕见的术后并发症,尤其在心脏手术后。我们报告了一例患者,该患者在心脏手术后 30 年因巨大的心包腔纱布遗留导致严重的心脏功能障碍。该病例阐明了心包腔纱布遗留引起的严重医疗后果,并提示对于有心脏手术史的患者,心包肿块时应考虑纱布遗留作为鉴别诊断。

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