title: Dissecting sub-epicardial haematoma: a rare complication with the use of Octopus suction mechanical stabiliser.
abstract: 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.
authors.affiliation: Department of Cardiothoracic Surgery, JN Medical College and KLES Hospital and MRC, Belgaum, Karnataka, India.
authors.forename: Mahadev
authors.initials: M
authors.lastname: Dixit
authors.forename: Mohan
authors.initials: M
authors.lastname: Gan
authors.forename: Kizakke K
authors.initials: KK
authors.lastname: Pradeep
authors.forename: Anuradha
authors.initials: A
authors.lastname: Dubey
authors.forename: Sriram
authors.initials: S
authors.lastname: Sabade
authors.forename: Raghunath
authors.initials: R
authors.lastname: Mahapatra
mesh_terms: D000368:Aged; D047549:Coronary Artery Bypass, Off-Pump / Q000009:adverse effects* / Q000295:instrumentation*; D006331:Heart Diseases / Q000209:etiology*; D006406:Hematoma / Q000209:etiology*; D006801:Humans; D008297:Male; D010496:Pericardium; D013396:Suction / Q000009:adverse effects / Q000295:instrumentation