PDF(Pubmed)
Abstract：
Minimally invasive cardiac surgery off-pump coronary artery bypass (MICSOPCAB) has become increasingly prevalent, with devices like the heart positioner aiding in surgical precision. However, rare complications such as epicardial hematoma can occur. Here, we present a case of a 75-year-old man undergoing MICSOPCAB who developed an epicardial hematoma due to the heart positioner. The hematoma was successfully repaired intraoperatively with direct suturing and large felts. Postoperative recovery was uneventful, highlighting the importance of vigilant monitoring and prompt management of such complications. This case underscores the need for careful attention during the use of cardiac positioners to minimize adverse events and ensure favorable patient outcomes.
摘要：
微创心脏手术非体外循环冠状动脉搭桥术（MICSOPCAB）已变得越来越普遍，心脏定位器等设备有助于手术精度。然而,罕见的并发症如心外膜血肿可发生。这里,我们介绍一例75岁接受MICSOPCAB治疗的男性患者,该患者因心脏定位器而出现心外膜血肿.术中通过直接缝合和大毛毡成功修复了血肿。术后恢复顺利，强调警惕监测和及时管理此类并发症的重要性。这种情况强调了在使用心脏定位器期间需要仔细注意，以最大程度地减少不良事件并确保良好的患者预后。
