Abscess transformation of intracardiac hematoma and ventricular rupture after double-patch repair of postinfarction ventricular septal defect.

A 69-year-old male patient underwent double-patch repair for a postinfarction ventricular septal defect (VSD). He returned five months later with an abscess in the area of a postoperative hematoma between the patch and the left ventricle. The abscess was drained and the ventricles were successfully reconstructed. Intracardiac hematoma after double-patch repair of postinfarction VSD should be closely followed up and, if there are any infection signs, aggressive surgical management should be performed.