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Atrial Septal Hematoma After Mitral Valve and Left Coronary Artery Surgery in a Child

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Abstract

Atrial septal hematoma (ASH) has been reported mostly in adult patients to occur after spontaneous ascending aortic dissection (Circulation 46(3):537–545, 1972) and after surgery for coronary artery (Anesthesiology 83(3):620–621, 1995), mitral valve, and aortic valve (Rev Esp Cardiol 55(8):867–871, 2002). ASH in the pediatric age group is rare, and to our knowledge only two cases have been published (Am J Perinatol 27(6):481–483, 2010; J Am Soc Echocardiogr 1087–1089, 1998). We report a case of ASH diagnosed by intraoperative transesophageal echocardiography in a 28-month-old child who underwent mitral valvuloplasty and left main coronary arterioplasty for anomalous origin of the left coronary artery from pulmonary artery. ASH subsided on its own within 24 h.

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References

  1. Biniwale RM (2010) Atrial septal hematoma: after minimally invasive aortic valve replacement. Tex Heart Inst J 37(1):102–105

    PubMed Central  PubMed  Google Scholar 

  2. Lawrie GM, Earle EA, Earle NR (2009) Nonresectional repair of the Barlow mitral valve: importance of dynamic annular evaluation. Ann Thorac Surg 88(4):1191–1196

    Article  PubMed  Google Scholar 

  3. Momenah TS, McElhinney DB, Brook MM, et al. (1998) Intramyocardial hematoma causing cardiac tamponade after repair of Ebstein malformation: erroneous echocardiographic diagnosis as intracavitary thrombus. J Am Soc Echocardiogr 1087–1089

  4. Ortega JR, San Roman JA, Rollan MJ et al (2002) Atrial hematoma in cardiac postoperative patients and the diagnostic use of transesophageal echocardiography. Rev Esp Cardiol 55(8):867–871

    Article  PubMed  Google Scholar 

  5. Patsouras D, Kountouris E, Korantzopoulos P et al (2005) Right atrial dissecting intramural hematoma resulting in interventricular communication without ventricular septal defect: a rare complication of myocardial infarction. Cardiology 104(4):191–192

    Article  PubMed  Google Scholar 

  6. Rifaie O, Nammas W (2009) Right atrial wall hematoma following percutaneous mitral valvuloplasty. J Cardiol 54(1):144–147

    Article  PubMed  Google Scholar 

  7. Rowe SK, Porter CB (1987) Atrial septal hematoma: two-dimensional echocardiographic findings after blunt chest trauma. Am Heart J 114(3):650–652

    Article  CAS  PubMed  Google Scholar 

  8. Tsubo T, Araki I, Ishihara H et al (1995) Atrial septal hematoma immediately after cardiac surgery: detection using transesophageal echocardiography. Anesthesiology 83(3):620–621

    Article  CAS  PubMed  Google Scholar 

  9. Tzifa A, Zidere V, Greil G, Austin C et al (2010) Intralimbic hematoma formation within an atrial septal aneurysm in a neonate with hypoplastic left heart syndrome. Am J Perinatol 27(6):481–483

    Article  PubMed  Google Scholar 

  10. Vyas PR, Wright CB, Driedger H et al (1987) Tricuspid incompetence resulting from aortic dissection. J Cardiovasc Surg (Torino) 28(5):585–587

    CAS  Google Scholar 

  11. Yacoub MH, Schottenfeld M, Kittle CF (1972) Hematoma of the interatrial septum with heart block secondary to dissecting aneurysm of the aorta. Circulation 46(3):537–545

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Division of Pediatric Cardiology, Phoenix Children’s Hospital, 1919 E. Thomas Rd., Phoenix, AZ, 85016, USA

    Durga P. Naidu, John Nigro & Ernerio T. Alboliras

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  1. Durga P. Naidu
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  2. John Nigro
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  3. Ernerio T. Alboliras
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Correspondence to Ernerio T. Alboliras.

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Naidu, D.P., Nigro, J. & Alboliras, E.T. Atrial Septal Hematoma After Mitral Valve and Left Coronary Artery Surgery in a Child. Pediatr Cardiol 34, 2037–2039 (2013). https://doi.org/10.1007/s00246-012-0583-2

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  • DOI: https://doi.org/10.1007/s00246-012-0583-2

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