Thoracoscopic removal of a suture needle from the posterior pericardium after coronary artery bypass grafting

Nathaniel Liu, Robert Gilkeson, Alan Markowitz, Carsten Schroeder

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

We demonstrate a minimally-invasive thoracoscopic approach [video-assisted thoracic surgery (VATS)] for removal of a retained pericardial suture needle after standard coronary artery bypass grafting (CABG) surgery. A 46-year-old male presented with unstable angina. His workup demonstrated significant coronary artery disease for which he underwent a six vessel CABG, including entering the left chest for preparation of the left internal mammary artery (LIMA). At seven weeks, a postoperative chest X-ray demonstrated a foreign body (suture needle) present in the cardiac silhouette. Further computed tomography (CT)-scan imaging confirmed the suture needle to be localized in the left inferior-posterior pericardium. The patient underwent a left VATS exploration for removal of the suture needle. The pericardial suture needle was successfully retrieved thoracoscopically. The chest tube was removed on the first postoperative day and the patient was discharged to home on the second postoperative day. The patient's postoperative course and recovery were uneventful. A minimally-invasive approach can be undertaken for the removal of a foreign body even after prior open chest surgery, avoiding the associated morbidity of a repeat sternotomy.

Original languageEnglish (US)
Pages (from-to)341-343
Number of pages3
JournalInteractive Cardiovascular and Thoracic Surgery
Volume13
Issue number3
DOIs
StatePublished - Sep 1 2011

Fingerprint

Pericardium
Coronary Artery Bypass
Sutures
Needles
Video-Assisted Thoracic Surgery
Thorax
Foreign Bodies
Chest Tubes
Sternotomy
Mammary Arteries
Unstable Angina
Coronary Artery Disease
Tomography
X-Rays
Morbidity

Keywords

  • Foreign body removal
  • Minimally-invasive surgery
  • Redo operation
  • Thoracoscopy/video-assisted thoracic surgery

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

Cite this

Thoracoscopic removal of a suture needle from the posterior pericardium after coronary artery bypass grafting. / Liu, Nathaniel; Gilkeson, Robert; Markowitz, Alan; Schroeder, Carsten.

In: Interactive Cardiovascular and Thoracic Surgery, Vol. 13, No. 3, 01.09.2011, p. 341-343.

Research output: Contribution to journalArticle

Liu, Nathaniel ; Gilkeson, Robert ; Markowitz, Alan ; Schroeder, Carsten. / Thoracoscopic removal of a suture needle from the posterior pericardium after coronary artery bypass grafting. In: Interactive Cardiovascular and Thoracic Surgery. 2011 ; Vol. 13, No. 3. pp. 341-343.
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