Iatrogenic retained foreign body in the right atrium. Lessons to Learn

Choi, Charles H.; Elahi, Maqsood M.; Konda, Subbareddy

doi:10.1016/j.ijscr.2013.07.011

Cited by 5 publications

(6 citation statements)

References 5 publications

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“…Interestingly, patients may remain asymptomatic for some time before constitutional signs and symptoms begin to appear as in our case 2. Choi et al 2 described a case where they found a plastic cannula protruding out of the RA months after an invasive procedure.…”

Section: Discussionmentioning

confidence: 70%

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An incidental finding of a calcified right-atrial mass in a young patient treated with chemotherapy 20 years ago

Rathod¹,

Westwood

Uppal

et al. 2014

BMJ Case Reports

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We describe a case of a young woman presenting with lethargy and pleuritic chest pain. She had a medical history of leukaemia treated successfully 20 years ago with chemotherapy via a long line. Although initial investigations suggested a diagnosis of pulmonary embolism (PE; on CT pulmonary angiogram (CTPA)) and a possible thrombus in the right atrium, her symptoms appeared out of proportion in relation to this diagnosis. Further imaging using transthoracic echocardiography suggested the presence of a calcified mass in the right atrium. She underwent successful surgical resection of the mass which was found to be attached to the lateral wall of the right atrium. She made an uneventful recovery and continued on warfarin therapy for 6 months in view of the diagnosis of PE on CTPA. We believe the calcified mass was probably caused by the presence of a long line at the time of her chemotherapy.

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Section: Discussionmentioning

confidence: 70%

“…Choi et al 2 described a case where they found a plastic cannula protruding out of the RA months after an invasive procedure.…”

Section: Discussionmentioning

confidence: 99%

An incidental finding of a calcified right-atrial mass in a young patient treated with chemotherapy 20 years ago

Rathod¹,

Westwood

Uppal

et al. 2014

BMJ Case Reports

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“…Much less frequently, it is the consequence of medical procedures, including blood vessel cannulization (7,8). In the studied case, the foreign body -a The medical treatment in case of a foreign body in the heart is individualized in each case and depends on the type and size of the body, the route of its entry and the localization in the heart as well as on possible concomitant symptoms (2,3,10). It is said that foreign bodies embedded in the myocardium or pericardium of non-symptomatic patients should be monitored (1,(3)(4)(5)9).…”

Section: Discussionmentioning

confidence: 99%

Iatrogenic Foreign Body in the Heart in Relation to Possible Malpractice and Its Consequences a Case Report

Karnecki¹,

Kaliszan²,

Jankowski³

2015

Bull Leg Med

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The paper presents the case of a 55-year-old man whose body was found at home at the foot of the stairs. The inspection of the body at the scene showed that the probable cause of the man's death was positional asphyxia after falling down the stairs. The forensic autopsy revealed a 10-cm-long tip of a nephrostomy catheter. To determine the time and circumstances of the foreign body's entry into the heart and its possible impact on the man's death, the medical history was analyzed. It indicated that the piece of the catheter entered the circulatory system during surgery performed few years before man's death. The results of the postmortem examination, taking into consideration the obtained medical information, excluded the foreign body in the right ventricle of the heart as a contributory cause of the man's death.Keywords: Foreign body, Heart, Catheter, Surgery, Positional asphyxia, Malpractice. ÖzetBu yazı 55 yaşında evde merdiven basamakları başında ölü halde bulunan bir kişi ile ilgilidir. Olay yerinde cesedin incelenmesi kişinin muhtemel ölüm sebebini merdivenlerden düşme sonucu pozisyonel asfiksi olarak göstermektedir. Adli Tıbbi otopside 10 cm.lik nefrostomi kateter ucu tespit edilmiştir. Yabancı cismin kalbe giriş zamanı ve şeklini, ölüm üzerindeki etkisini saptayabilmek için kişinin tıbbi özgeçmişi de araştırıldı. Katater parçasının adamın ölümünden birkaç yıl once once uygulanan cerrahi işlem sırasında dolaşım sistemine girdiği anlaşıldı. Postmortem inceleme sonuçları ve alınan tıbbi bilgiler değerlendirildiğinde, kalpte sağ ventrikülde bulunan yabancı cismin, kişinin ölümüne katkıda bulunacak neden oluşu dışlanmaktadır.

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“…Other devices may have been left in the heart or may have been dislodged and can be asymptomatic or cause devastating complications such as Candida endocarditis of the tricuspid valve or a broken stylet retained in the interatrial septum …”

Section: Discussionmentioning

confidence: 99%

“…35 Severe tricuspid regurgitation with right heart failure occurred due to damage of the tricuspid valve with a migrated Wallstent in 2 cases. 34,40 Other devices [41][42][43][44][45][46][47][48][49] may have been left in the heart or may have been dislodged and can be asymptomatic or cause devastating complications such as Candida endocarditis of the tricuspid valve 45 or a broken stylet retained in the interatrial septum. 13 Percutaneous vertebroplasty is an effective, minimally invasive procedure for the treatment of osteoporotic and metastatic vertebral fractures.…”

Section: Discussionmentioning

confidence: 99%