Key result
Evacuating an expanding postcarotid endarterectomy hematoma reverses induced cardiac bigeminy.
Why the study?
Postcarotid endarterectomy hematomas are common but rarely cause cardiac arrhythmias requiring intervention.
An expanding hematoma post-carotid endarterectomy can induce cardiac arrhythmia (bigeminy) that is reversible upon evacuation.
Expanding post-CEA hematoma may induce reversible bigeminy; hypothesis-generating and requires prospective confirmation before practice change.
Postcarotid endarterectomy (CEA) hematomas are common although they are rarely threatening and necessitate reoperation. We aim to report a rare case of an expanding hematoma that caused a cardiac arrhythmia (bigeminy) which was reversed after hematoma evacuation.
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Galyfos et al. (2023) studied this question. An expanding postcarotid endarterectomy hematoma induced a cardiac arrhythmia presenting as bigeminy that was reversed following hematoma evacuation.
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