Unexpected interventricular septal hematoma after ventricular septal defect closure: intraoperative echocardiographic early detection.
We report a rare case of an interventricular septal hematoma in a 4-month-old infant after patch closure of a membranous ventricular septal defect. Routine intraoperative transesophageal echocardiographic monitoring allowed immediate detection of intraventricular hematoma that was promptly treated by simple needle drainage after weaning off cardiopulmonary bypass. Patient's postoperative clinical course was uneventful.
Padalino
Massimo A
MA
Pediatric and Congenital Cardiac Surgery Unit, University of Padova, Medical School, Padova, Italy. massimo.padalino@unipd.it
Speggiorin
Simone
S
Pittarello
Demetrio
D
Milanesi
Ornella
O
Stellin
Giovanni
G
D002315:Cardiopulmonary Bypass; D004322:Drainage; D017548:Echocardiography, Transesophageal; D005260:Female; D006345:Heart Septal Defects, Ventricular / Q000000981:diagnostic imaging* / Q000601:surgery; D006406:Hematoma / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D007223:Infant