Intramycardial hematoma following congenital cardiac surgery in children: a single -center experience
10.3760/cma.j.cn112434-20240607-00155
- VernacularTitle:儿童先心病术后并发症心肌血肿：单中心经验
- Author:
Ye LU
1
;
Xumei LIU
;
Li WANG
;
Yan GUO
;
Jianru LI
;
Xiaobi LIANG
;
Yan LIAO
;
Li MA
;
Weidan CHEN
Author Information
1. 广州医科大学附属广州市妇女儿童医疗中心心脏彩超科，广州 510623
- Keywords:
Intramycardial hematoma;
Interventricular septal hematoma;
Congenital cardiac surgery
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2024;40(11):657-659
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize the clinical features of 8 cases with intramycardial hematoma(IMH) following congenital cardiac surgery in children.Methods:We retrospectly searched 8 patients with intramycardial hematoma after congenital cardiac surgery in Guangzhou Women and Children’s Medical Center from 2008 to 2024.Results:Mean age and mean weight at surgery were(13±15) months and(7.8±3.5)kg respectively. 6 of 8 cases were interventricular septal hematoma. In the other 2 patients, intramycardial hematoma was located in left ventrical free wall. All IMH were postoperatively detected by transthoracic echocardiaography. Two patients were managed with ECMO intraoperatively. Finally, all patients were discharged successfully with good clinical results. Mean time to IMH resolution in six patients was(33.5±4.6) days and mean left ventricular ejection fraction(LVEF) was 0.60±0.09. Another patient was followed up for 3 months and the IMH was not absorbed. One patient was lost to follow-up.Conclusion:IMH is a rare complication after congenital heart disease. The absorption of hematoma is a dynamic process and mean time to IMH resolution is about 1month. In IMH patients with hemodynamic instability, ECMO can be a good treatment to create opportunities for hematoma absorbtion.
