[HSF] LIMA harvest- extra pleural haematoma

[Michael Firstenberg]

how do you divide the branches - bovie?  clips?  harmonic?  who takes  
your IMA?
are you extubating in the OR or right away?


if I find a lot of mediastinal fat/tissue in that area, I will pack  
with a little fibrillar, which combined with the positive pressure  
from the vent, will help tamponade any smaller bleeders

-michael


On Feb 1, 2008, at 7:09 AM, john pj wrote:

>
>
>   In the last 2 years we have seen at least 3 times an  extra  
> pleural haematoma at  the apex/ upper zone of the left lung after  
> CABG with LIMA. In one of them it’s extra pleural location was  
> confirmed with CT   and took  3 months to clear radiologically
>
>   We suspect that it could be from post op bleeding in to the chest  
> wall from one of the braches of LIMA.
>   Any comments about such a complication?
>
>
>
>
>
>
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