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Nishi H, Toda K, Miyagawa S, et al. Secondary abdominal compartment syndrome required decompression laparotomy during minimally invasive mitral valve repair. Surg Case Rep. 2016;2(1):3doi: 10.1186/s40792-015-0078-5.
Nishi, H., Toda, K., Miyagawa, S., Yoshikawa, Y., Fukushima, S., Yoshioka, D., Saito, T., & Sawa, Y. (2016). Secondary abdominal compartment syndrome required decompression laparotomy during minimally invasive mitral valve repair. Surgical case reports, 2(1), 3. https://doi.org/10.1186/s40792-015-0078-5
Nishi, Hiroyuki, et al. "Secondary abdominal compartment syndrome required decompression laparotomy during minimally invasive mitral valve repair." Surgical case reports vol. 2,1 (2016): 3. doi: https://doi.org/10.1186/s40792-015-0078-5
Nishi H, Toda K, Miyagawa S, Yoshikawa Y, Fukushima S, Yoshioka D, Saito T, Sawa Y. Secondary abdominal compartment syndrome required decompression laparotomy during minimally invasive mitral valve repair. Surg Case Rep. 2016 Dec;2(1):3. doi: 10.1186/s40792-015-0078-5. Epub 2016 Jan 12. PMID: 26943679; PMCID: PMC4710626.
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Surg Case Rep. 2016 Dec;2(1):3. doi: 10.1186/s40792-015-0078-5. Epub 2016 Jan 12.

Secondary abdominal compartment syndrome required decompression laparotomy during minimally invasive mitral valve repair.

Surgical case reports

Hiroyuki Nishi, Koichi Toda, Shigeru Miyagawa, Yasushi Yoshikawa, Satsuki Fukushima, Daisuke Yoshioka, Tetsuya Saito, Yoshiki Sawa

Affiliations

  1. Department of Cardiovascular Surgery, Osaka University Graduate School of Medicine, 2-2, Yamada-Oka, Suita, Osaka, 565-0871, Japan.
  2. Department of Cardiovascular Surgery, Osaka University Graduate School of Medicine, 2-2, Yamada-Oka, Suita, Osaka, 565-0871, Japan. [email protected].

PMID: 26943679 PMCID: PMC4710626 DOI: 10.1186/s40792-015-0078-5

Abstract

We treated a 77-year-old patient with secondary abdominal compartment syndrome that caused failure to maintain cardiopulmonary bypass while undergoing elective minimally invasive right mini-thoracotomy mitral valve and tricuspid valve repair procedures. During the operation, a decompression laparotomy was needed to relieve elevated intraabdominal pressure that caused instability of the cardiopulmonary bypass. Due to poor oxygenation and the long cardiopulmonary bypass time, the patient required peripheral extracorporeal membrane oxygenation before recovery. We alert surgeons to this rare complication that can occur even in patients undergoing minimally invasive surgery with a right mini-thoracotomy.

Keywords: Complication; Minimally invasive surgery; Mitral valve repair

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