The Turkish Journal of Pediatrics
2013 , Vol 55 , Num 6
An extremely rare complication of congenital heart surgery: interventricular septal hematoma
Departments of 1Cardiovascular Surgery, 2Pediatric Cardiology, and 3Pediatric Intensive Care Unit, Ankara University Faculty of Medicine, Ankara, Turkey. E-mail: zeyileten@gmail.com
We report a rare case of interventricular septal hematoma after patch closure
of a perimembranous ventricular septal defect in a 10-month-old infant.
Intraoperative transesophageal echocardiography was not performed. Routine
transthoracic echocardiography at the 1st postoperative hour showed a huge
intramural hematoma causing severe thickening of the ventricular septum. The
patient's hemodynamics were stable and surgical revision was not required.
The patient recovered well without complication.
Keywords :
myocardial injury, hematoma, ventricular septal defect, complication.