# Epicardial hematoma due to heart positioner device in minimally invasive coronary artery bypass

## TL;DR

A 75-year-old man had a rare complication, an epicardial hematoma, during heart surgery due to a heart positioner device, which was successfully treated during the operation.

## Contribution

This paper reports a rare complication of using a heart positioner during minimally invasive heart surgery and its successful intraoperative management.

## Key findings

- An epicardial hematoma occurred due to the heart positioner during MICSOPCAB.
- The hematoma was repaired successfully with direct suturing and large felts.
- Postoperative recovery was uneventful, emphasizing the importance of prompt management.

## 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.