Dissecting Sub-Epicardial Haematoma: A Rare Complication with the Use of Octopus™ Suction Mechanical Stabiliser

Dixit, Mahadev; Gan, Mohan; Pradeep, Kizakke K.; Dubey, Anuradha; Sabade, Sriram; Mahapatra, Raghunath

doi:10.1016/j.hlc.2006.10.001

Cited by 2 publications

(2 citation statements)

References 6 publications

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“…For use in cardiac surgery, the distance between the three cup-suckers might be slightly modified so that the cups do not interfere with each other to fit non-planar surfaces. The use of a heart positioner or stabilizer occasionally caused subepicardial hematoma or epicardial injury related to suction [ 14 - 15 ], but the use of the Triolifter at -60 kPa did not cause significant hematoma or injury.…”

Section: Discussionmentioning

confidence: 99%

First Experience With the Triolifter, a Novel Device for Organ Fixation Used as a Heart Positioner in Cardiac Surgery

Umeda,

Matsuno,

Mitta

et al. 2024

Cureus

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We describe our first experience with the Triolifter (Fuji Systems, Yokohama, Japan) in cardiac surgery. The Triolifter is a less expensive, novel organ fixation device developed as a fixation indenter mainly for traction of the lung under video-assisted surgery and is now available in Japan. An 84-year-old man diagnosed with unstable angina pectoris underwent emergency coronary artery bypass grafting (CABG) under cardiac arrest. Following the declamping of the aorta and the resumption of the beating heart, bleeding from the left anterior descending artery (LAD) anastomosis site was observed. The Triolifter was used as a heart positioner to expose the anastomosis site for hemostasis in the setting of an on-pump beating heart. Hemostasis of the posterior descending artery (PDA) anastomosis site could also be confirmed by traction of the right ventricular anterior wall using the Triolifter. It could be effectively and safely used with neither significant subepicardial hematoma nor epicardial injury. In Japan, the Triolifter might be used as one of the insurance-covered devices in off-pump CABG in the future, but globally, it could also be used in on-pump CABG without hesitation because it is so inexpensive.

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Section: Discussionmentioning

confidence: 99%

First Experience With the Triolifter, a Novel Device for Organ Fixation Used as a Heart Positioner in Cardiac Surgery

Umeda,

Matsuno,

Mitta

et al. 2024

Cureus

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show abstract

“…In rare cases, suction stabilizer devices used during off-pump coronary artery bypass surgery can cause these injuries. 8,9 Extensive subepicardial hematomas may compress the coronary artery or avulse perforating myocardial coronary branches to produce myocardial ischemia, leading to infarction and death. In our case, surgical incision of the aneurysmal lesion and evacuation of the hematoma were essential to prevent further spread of the subepicardial hematoma.…”

Section: Discussionmentioning

confidence: 99%

Left ventricular perforation and dissecting subepicardial hematoma after catheter ablation for Wolff-Parkinson-White syndrome

Nagamine

Sawa

Nishida

et al. 2011

Gen Thorac Cardiovasc Surg

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Radiofrequency catheter ablation of accessory bypass tracts has become a widely accepted therapy for Wolff-Parkinson-White (WPW) syndrome. The procedure typically has a high success rate with a low incidence of complications. Left ventricular perforation is a rare but serious complication of catheter ablation. Here we describe a patient who developed left ventricular perforation and a dissecting subepicardial hematoma with cardiac tamponade following catheter ablation for WPW syndrome. Immediate hematoma evacuation and direct repair of the fragile myocardium were performed under cardiopulmonary bypass, and the patient survived with no further complications.

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Dissecting Sub-Epicardial Haematoma: A Rare Complication with the Use of Octopus™ Suction Mechanical Stabiliser

Cited by 2 publications

References 6 publications

First Experience With the Triolifter, a Novel Device for Organ Fixation Used as a Heart Positioner in Cardiac Surgery

First Experience With the Triolifter, a Novel Device for Organ Fixation Used as a Heart Positioner in Cardiac Surgery

Left ventricular perforation and dissecting subepicardial hematoma after catheter ablation for Wolff-Parkinson-White syndrome

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