Bermúdez YGJ, Borbón MLM, Chávez GE, Nazco HO, Chaljub BE, López CY

Language: Portugués
References: 4
Page: 245-248
PDF size: 280.14 Kb.

ABSTRACT

At the end of the 1990s, off-pump myocardial revascularization surgery gained momentum. Hence, a number of cardiac surgery centers adopted it as the most frequent surgical procedure to reduce complications. To implement it, the many medical equipment companies provided the surgical community with retractable stabilizers to facilitate cardiac positioning by suction and pressure, especially for lateral and posterior wall revascularization and coronary segment stabilization. These devices have been shown to be safe and effective; however, the patient presented is a rare case, in which epicardial dissection occurred secondary to the use of stabilizers. Although complex, this complication was eventually resolved with an endomyocardial circular pericardial patch technique and ventricular repair. The patient had a satisfactory outcome.

REFERENCES

1. Cuenca J, Bonome C. Cirugía coronaria sin circulación extracorpórea y otras técnicas mínimamente invasivas. Rev Esp Cardiol. 2005;58(11): 1335-48.

2. Barriuso Vargas C, Mulet Meliá J, Ninot Sugrañes S, Sureda Barbosa C, Bahamonde Romano JA, Castellá Pericas M. Cirugía coronaria sin circulación extracorpórea y estabilizador cardíaco Octopus ®. Rev Esp Cardiol. 1999;52(9):741-4.

3. Centella T, Lamas Hernández MJ, Maseda R. Disección epicárdica secundaria a revascularización miocárdica sin circulación extracorpórea. An Cir Card Cir Vasc. 2005;11(4):201-3.

4. Mandke NV, Nalladaru ZM, Chougule A, Mandke AN. Intra myocardial dissecting hematoma with epicardial rupture – An unusual complication of the Octopus 3 stabilizer. Eur J Cardiothorac Surg. 2002;21(3):566-7