微创二尖瓣置换术中并发后腹膜血肿伴腹腔间隔室综合征。
Retroperitoneal hematoma with abdominal compartment syndrome during minimally invasive mitral valve replacement.
机构信息
Division of Cardiothoracic Surgery, Department of Surgery, Columbia University Medical Center, New York, New York 10032, USA.
出版信息
Ann Thorac Surg. 2010 Apr;89(4):e17-8. doi: 10.1016/j.athoracsur.2010.01.052.
Abstract
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.
摘要
虽然腹膜后血肿最常继发于创伤，但它也是破裂的动脉瘤、抗凝治疗和股血管入路的一种报告并发症。在心血管文献中，腹膜后血肿发生在经皮冠状动脉介入治疗后；然而，这些血肿很少出血到导致腹腔间隔室综合征的程度。本报告描述了一例成人患者的病例，该患者在微创二尖瓣置换术中发生腹膜后血肿，术中发生腹腔间隔室综合征，需要紧急手术减压。
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