Left Ventricular Dissecting Hematoma Caused by Tissue Stabilizer

Area of Science:

• Cardiovascular Surgery
• Cardiac Anesthesia
• Thoracic Surgery

Background:

• Coronary artery bypass grafting (CABG) is a standard procedure for treating coronary artery disease.
• Off-pump CABG (OPCAB) avoids cardiopulmonary bypass, potentially reducing complications.
• Tissue stabilizers are used in OPCAB to maintain myocardial function during manipulation.

Observation:

• A rare complication of left ventricular dissecting hematoma occurred during an OPCAB procedure.
• The hematoma was attributed to the use of a tissue stabilizer device.
• Prompt recognition and management were crucial for patient outcome.

Findings:

• The case details the successful surgical management of a left ventricular dissecting hematoma.
• Specific techniques for controlling the hematoma and ensuring graft patency are discussed.
• The patient recovered well following the intervention.

Implications:

• This case highlights a potential, albeit uncommon, risk associated with tissue stabilizers in OPCAB.
• It underscores the importance of vigilance and preparedness for managing unexpected complications during cardiac surgery.
• The successful outcome demonstrates effective strategies for managing this specific surgical complication.