What thought to be a cardiac tumor turns out to be a remnant of former surgery

Anahita Tavoosi; Mehrdad Salehi; Akram Sardari; Samira Shirazi; Faeze Salahshour; Pejman Mansouri

doi:10.22122/arya.v16i5.1965

What thought to be a cardiac tumor turns out to be a remnant of former surgery

ARYA Atheroscler. 2020 Sep;16(5):258-260. doi: 10.22122/arya.v16i5.1965.

Authors

Anahita Tavoosi¹, Mehrdad Salehi², Akram Sardari¹, Samira Shirazi³, Faeze Salahshour⁴, Pejman Mansouri⁵

Affiliations

¹ Assistant Professor, Department of Cardiology, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.
² Professor, Department of Cardiac Surgery, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.
³ Resident, Department of Cardiology, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.
⁴ Assistant Professor, Department of Radiology, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.
⁵ Resident, Tehran Heart Center, Tehran University of Medical Sciences, Tehran Iran.

Abstract

Background: A textiloma is a rare retained surgical swab with probable serious post-operation complications.

Case report: Here, we reported an asymptomatic patient who had past history of coronary artery bypass grafting (CABG) fourteen months ago and referred to our institute for left atrial mass removal. Echocardiography and chest computed tomography (CT) scan revealed a non-homogenous non-mobile mass and a heterogeneous lesion with low-density as well as high-density areas with spot calcification and gas bubbles at left atrium level, respectively.

Conclusion: Despite being rare after CABG, textiloma should be considered in the differential diagnosis in case of any suspicious chest mass even in asymptomatic patients.

Keywords: Coronary Artery Bypass Grafting; Gossypiboma; Textiloma.

Publication types

Case Reports