Retroperitoneal Hematoma With Abdominal Compartment Syndrome During Minimally Invasive Mitral Valve Replacement

Although retroperitoneal hematomas most often occur secondary to trauma, they are a reported complication of ruptured aneurysms, anticoagulation therapy, and femoral vascular access. In the cardiovascular literature, retroperitoneal hematomas have occurred after percutaneous coronary interventions; however, these hematomas rarely bleed to the extent that they cause abdominal compartment syndrome. The present report describes the case of an adult patient who had a retroperitoneal hematoma develop during minimally invasive mitral valve replacement with intraoperative abdominal compartment syndrome requiring emergent surgical decompression. (Ann Thorac Surg 2010;89:e17-8) (C) 2010 by The Society of Thoracic Surgeons