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. Copyright (c) 2010 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.