Conservative management of a rare case of atrial septal hematoma after pediatric cardiac surgery

J Card Surg. 2020 Jan;35(1):207-210. doi: 10.1111/jocs.14287. Epub 2019 Oct 15.

Abstract

Atrial septal hematoma is uncommon complication that may happen after any cardiac intervention. Although it is rare, it can pose a challenging situation in the postoperative care. Multiple management approaches has been described with different outcomes. Here we are reporting a boy, aged 13 years, with dilated aortic root who underwent aortic root replacement with valve preservation. Postoperative course was complicated by atrial septal hematoma. A nonsurgical management approach was chosen based on the patient clinical condition. Regression in size with complete resolution of the hematoma was observed during the follow up.

Keywords: cardiovascular pathology; cardiovascular research; congenital heart disease.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Aorta / surgery*
  • Blood Vessel Prosthesis Implantation*
  • Cardiac Surgical Procedures*
  • Conservative Treatment / methods*
  • Heart Atria
  • Heart Diseases / therapy*
  • Heart Septum*
  • Hematoma / therapy*
  • Humans
  • Male
  • Postoperative Complications / therapy*
  • Rare Diseases*
  • Treatment Outcome