Dissecting sub-epicardial haematoma: a rare complication with the use of Octopus suction mechanical stabiliser.
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.
Dixit
Mahadev
M
Department of Cardiothoracic Surgery, JN Medical College and KLES Hospital and MRC, Belgaum, Karnataka, India.
Gan
Mohan
M
Pradeep
Kizakke K
KK
Dubey
Anuradha
A
Sabade
Sriram
S
Mahapatra
Raghunath
R
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