Abscess transformation of intracardiac hematoma and ventricular rupture after double-patch repair of postinfarction ventricular septal defect.
A 69-year-old male patient underwent double-patch repair for a postinfarction ventricular septal defect (VSD). He returned five months later with an abscess in the area of a postoperative hematoma between the patch and the left ventricle. The abscess was drained and the ventricles were successfully reconstructed. Intracardiac hematoma after double-patch repair of postinfarction VSD should be closely followed up and, if there are any infection signs, aggressive surgical management should be performed.
Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Yang Hyun
YH
Cho
Wook Sung
WS
Kim
Young Tak
YT
Lee
Pyo Won
PW
Park
D000038:Abscess / Q000209:etiology* / Q000601:surgery*; D000368:Aged; D001705:Bioprosthesis; D006348:Cardiac Surgical Procedures; D004322:Drainage; D006331:Heart Diseases / Q000150:complications* / Q000175:diagnosis; D006341:Heart Rupture; D006342:Heart Rupture, Post-Infarction / Q000175:diagnosis / Q000601:surgery*; D006352:Heart Ventricles / Q000601:surgery; D006406:Hematoma / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D008297:Male; D011183:Postoperative Complications; D011506:Proteins; D016896:Treatment Outcome; D018658:Ventricular Septal Rupture / Q000175:diagnosis / Q000601:surgery*
C472676:Bio-glue; D011506:Proteins