Interventricular septal hematoma complicating placement of a ventricular assist device in an infant and support with bi-atrial cannulation.
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<p>Interventricular septal hematoma is a rare complication of pediatric cardiac surgery, usually in the context of ventricular septal defect closure. We present intraoperative echocardiography of a large interventricular septal hematoma secondary to the placement of a left ventricular assist device (VAD) in an infant who required conversion to biventricular support with bi-atrial cannulation. As the patient later died of neurologic complications, we present correlation with pathologic findings.</p>