Case Report

Pediatric Cardiology

, Volume 34, Issue 8, pp 2037-2039

First online:

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

  • Durga P. NaiduAffiliated withDivision of Pediatric Cardiology, Phoenix Children’s Hospital
  • , John NigroAffiliated withDivision of Pediatric Cardiology, Phoenix Children’s Hospital
  • , Ernerio T. AlbolirasAffiliated withDivision of Pediatric Cardiology, Phoenix Children’s Hospital Email author 

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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.


Atrial septal hematoma Mitral valvuloplasty Anomalous left coronary artery Coronary artery surgery