Bailey Fiona J, Jivanji Salim G M, Kostolny Martin
Cardiac Unit, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK.
Cardiac Unit, The Harley Street Clinic, Congenital Heart Centre, London, UK.
Interact Cardiovasc Thorac Surg. 2017 Feb 1;24(2):296-298. doi: 10.1093/icvts/ivw337.
Interventricular septal haematoma is a rare postoperative complication in congenital heart surgery. We present one case of a 6-month-old after tetralogy of Fallot repair and 1 case of a 10-month-old after ventricular septal defect repair. Both were noted to have interventricular septal haematoma on intraoperative transoesophageal and postoperative echocardiogram. Although multiple previous reports, mainly in adults, have suggested aggressive intervention, both these cases were managed conservatively, highlighting the management and evolution of a rare postoperative complication in the paediatric population.
室间隔血肿是先天性心脏手术中一种罕见的术后并发症。我们报告1例法洛四联症修复术后6个月大的患儿以及1例室间隔缺损修复术后10个月大的患儿。术中经食管超声心动图及术后超声心动图均显示这两名患儿存在室间隔血肿。尽管此前有多项主要针对成人的报告建议采取积极干预措施，但这两例患儿均采取了保守治疗，这凸显了儿科人群中一种罕见术后并发症的管理及病情演变情况。
