Table of Contents
ISRN Pediatrics
Volume 2011, Article ID 534940, 3 pages
http://dx.doi.org/10.5402/2011/534940
Case Report

Postoperative Dissecting Ventricular Septal Hematoma: Recognition and Treatment

Departments of Pediatrics and Surgery, School of Medicine, Primary Children's Medical Center, University of Utah, 100 North Mario Capecchi Drive, Salt Lake City, UT 84113, USA

Received 25 January 2011; Accepted 27 February 2011

Academic Editors: V. M. Di Ciommo, J. A. O''Neill, and F. Sauvat

Copyright © 2011 Christopher R. Mart and Aditya K. Kaza. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Dissecting ventricular septal hematoma (DVSH) rarely occurs after repair of a ventricular septal defect (VSD) but can lead to serious complications such as septal rupture, myocardial rupture, cardiogenic shock, heart block, outflow obstruction, cardiac tamponade, abscess transformation, and death. This paper describes the diagnosis and management of acute, severe, left ventricular outflow tract obstruction caused by the development of a DVSH after VSD repair.