Department of Anesthesiology, Saitama Medical University International Medical Center, 1397-1 Yamane, Hidaka, Saitama, Japan.
J Anesth. 2010 Oct;24(5):801-2. doi: 10.1007/s00540-010-0989-z. Epub 2010 Jul 17.
The Starfish heart positioning device allows excellent cardiac positioning and hemodynamic stability during off-pump coronary artery bypass graft surgery. Herein, we present a patient in whom the use of this device caused epicardial hematoma as the result of an injured epicardial vein, an uncommon complication of this device. In this patient, regional left ventricular wall motion abnormality on transesophageal echocardiography and a ST-T change on electrocardiogram occurred secondary to the development of the epicardial hematoma. These signs completely disappeared upon removal of the hematoma. These findings suggested that the hematoma resulted in reversible myocardial ischemia.
海星心脏定位器可在不停跳冠状动脉旁路移植术中实现良好的心脏定位和血液动力学稳定。在此，我们报告 1 例患者使用该装置后发生心外膜血肿，原因是心外膜静脉损伤，这是该装置的一种罕见并发症。在该患者中，由于心外膜血肿的发展，经食管超声心动图出现节段性左心室壁运动异常和心电图 ST-T 改变。这些征象在心外膜血肿清除后完全消失。这些发现提示血肿导致了可逆性心肌缺血。
