Mechanical heart stabilisers are the most important method of anastomotic field immobilisation
in off pump coronary artery bypass (OPCAB) surgery. The new generations of stabilisers
are small, versatile and relatively free of complications. We report a patient who
developed a dissecting sub-epicardial haematoma following OPCAB using the OCTOPUS
3.0 (Medtronic Inc., Minneapolis, USA) suction stabiliser, which manifested as myocardial
ischaemia two hours after surgery. It is a rare but potentially lethal complication
that has only once before been reported in literature.
Keywords
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References
- Systematic review of beating heart surgery with the Octopus® Tissue Stabilizer.Eur J Cardiothorac Surg. 2002; 21: 804-817
- Intra myocardial dissecting hematoma with epicardial rupture—an unusual complication of the Octopus 3 stabilizer.Eur J Cardiothorac Surg. 2002; 21: 566-567
- Subepicardial haematoma (haemorrhagia per rhexin) after elective PTCA with consecutive compression of the distal RIVA.Z Kardiol. 1993; 82: 94-98
- Dissecting sub-epicardial hematoma—challenges to surgical management.Eur J Cardiothorac Surg. 2004; 26: 850-853
- Epicardial haematoma: rare cause of acute myocardial ischaemia.Eur J Cardiothorac Surg. 2002; 21: 119-120
- Coronary artery perforation with subepicardial hematoma.Cathet Cardiovasc Diagn. 1997; 41: 59-60
- Coronary artery perforation by cutting balloon resulting in dissecting subepicardial hematoma and avulsion of the vasculature.Catheter Cardiovasc Interv. 2005; 64: 163-168
Article info
Publication history
Accepted:
October 1,
2006
Received in revised form:
September 27,
2006
Received:
August 29,
2006
Identification
Copyright
© 2006 Australasian Society of Cardiac and Thoracic Surgeons and the Cardiac Society of Australia and New Zealand. Published by Elsevier Inc. All rights reserved.
