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European Journal of Echocardiography 2007 8(5):395-398; doi:10.1016/j.euje.2006.06.001
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Copyright © 2006, The European Society of Cardiology

Unexpected interventricular septal hematoma after ventricular septal defect closure: Intraoperative echocardiographic early detection

Massimo A. Padalinoa,*, Simone Speggiorina, Demetrio Pittarellob, Ornella Milanesic and Giovanni Stellina

aPediatric and Congenital Cardiac Surgery Unit, University of Padova, Medical School, Padova, Italy
bInstitute of Anesthesiology, University of Padova, Medical School, Padova, Italy
cPediatric Cardiology, Department of Pediatrics, University of Padova, Medical School, Padova, Italy

Received 4 April 2006; received in revised form 26 May 2006; accepted after revision 2 June 2006.

massimo.padalino{at}unipd.it, http://www.cardiocongpadova.it

* Corresponding author. Tel.: +39 049 8212427; fax: +39 049 8212409.


   Abstract

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.

Keywords: TEE; Transesophageal echocardiography; Pediatric cardiac surgery; Hematoma


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