Intra-abdominal Bleeding after Repair of Total Anomalous Pulmonary Venous Connection

Abstract

Division of Cardiovascular Surgery, Nagoya Daini Red Cross Hospital, Nagoya, Japan A case is reported of sudden rupture of a subcapsular hematoma of the liver (SHL) due to birth injury occurring after complete repair of a total anomalous pulmonary venous connection in a 3-day-old male infant. Autopsy showed a wide bruised surface of liver parenchyma. Although making a diagnosis of SHL may be difficult before neonatal cardiac surgery, special care on this quite rare complication must be taken in neonates with difficult delivery.

Key words

Neonate - Intra-abdominal bleeding - Subcapsular hematoma of the liver (SHL) - Total anomalous pulmonary venous connection (TAPVC)