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Right arrow Minimally invasive surgery

Ann Thorac Surg 2002;73:1629-1631
© 2002 The Society of Thoracic Surgeons

Case report

Retropericardial hematoma complicating off-pump coronary artery bypass surgery

Toshihiro Fukui, MD*a, Shigefumi Suehiro, MDa, Toshihiko Shibata, MDa, Koji Hattori, MDa, Hidekazu Hirai, MDa

a Department of Cardiovascular Surgery, Osaka City University Medical School, Osaka, Japan

Accepted for publication October 16, 2001.

* Address reprint requests to Dr Fukui, Department of Cardiovascular Surgery, Osaka City University Medical School, 1-4-3 Asahi-machi, Abeno-ku, Osaka 545-8585, Japan
e-mail: tm-fukui{at}gem.hi-ho.ne.jp

We report the case of a retropericardial hematoma after triple-vessel off-pump coronary artery bypass grafting. Transesophageal echocardiography demonstrated a retropericardial hematoma that compressed the left atrium anteriorly and suppressed cardiac function. Injury to the pulmonary vein during placement of deep pericardial sutures and postoperative infusion of heparin were the likely causes of this rare but potentially fatal complication of an off-pump bypass operation.




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