Commentary: Postoperative interventricular septal hematoma —Never say never

Interventricular septal hematoma (IVSH) is rarely reported in association with congenital cardiac surgical repair and is more commonly related to cardiac trauma or myocardial infarction in the adult cardiac patient. When linked to congenital cardiac surgery, the few cases reported are usually in conjunction with a perimembranous ventricular septal defect (VSD) repair. Although the mechanism for IVSH is not clear, the leading theory involves injury to the septal perforating artery during suture placement in the VSD repair.

Source: The Journal of Thoracic and Cardiovascular Surgery - October 30, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Harold M. Burkhart, Jess L. Thompson, Klayton W. Buckley Tags: Commentary Source Type: research