Abdominal Compartment Syndrome Causing Respiratory Failure During Surgery for a Ruptured Descending Thoracic Aneurysm: Report of a Case

Shiiya, Norihiko; Matsuzaki, Kei; Miyatake, Takashi; Yoshimoto, Kimihiro; Yasuda, Keishu

doi:10.1007/s00595-004-2923-1

Cited by 5 publications

(7 citation statements)

References 7 publications

(10 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Massive fl uid resuscitation could cause secondary ACS and respiratory failure during surgery for a ruptured descending thoracic aortic aneurysm (rTAA). 52 Supranormal resuscitation, in comparison to normal resuscitation, is associated with increased incidence of IAH, ACS, MOF, and death because of decreased intestinal perfusion. 53 Routine bladder pressure monitoring is recommended for patients with ongoing resuscitation greater than 500 cc/h.…”

Section: Prevention Of Secondary Acsmentioning

confidence: 99%

Abdominal Compartment Syndrome

Deenichin

2007

Surg Today

View full text Add to dashboard Cite

Compartment syndrome is a pathophysiological term, comprising a variety of tissues and organ alterations, due to a higher than normal pressure in an anatomically detached space (compartment). In the human body, areas denoted as compartments include the orbital globe, the sub and epidural space, the abdomen, pleura, pericardium, and others. Compartment syndrome was described initially in limbs. Abdominal compartment syndrome is defined as an intra-abdominal pressure above 20 mmHg with evidence of organ failure. Abdominal compartment syndrome develops when the intra-abdominal pressure rapidly reaches certain pathological values, within several hours (intra-abdominal hypertension is observed), and lasts for 6 or more hours. The key to recognizing abdominal compartment syndrome is the demonstration of elevated intra-abdominal pressure which is performed most often via the urinary bladder, and it is considered to be the "gold standard." Multiorgan failure includes damage to the cardiac, pulmonary, renal, neurological, gastrointestinal, abdominal wall, and ophthalmic systems. The gut is the most sensitive to intra-abdominal hypertension, and it develops evidence of end-organ damage before alterations are observed in other systems. The surgical decompression of the abdomen remains the treatment of choice of abdominal compartment syndrome; this usually improves the organ changes, and is followed by one of the temporary abdominal closure techniques in order to prevent secondary intra-abdominal hypertension.

show abstract

Section: Prevention Of Secondary Acsmentioning

confidence: 99%

Abdominal Compartment Syndrome

Deenichin

2007

Surg Today

View full text Add to dashboard Cite

show abstract

“…Therefore, ACS could be fatal in a patient under cardiopulmonary bypass, as increased intraabdominal pressure can cause a failure of venous return. However, only a few cases of ACS during cardiopulmonary bypass have been reported [ 4 , 5 ], and there are no patients undergoing minimally invasive cardiac surgery.…”

Section: Case Presentationmentioning

confidence: 99%

“…Previous reports have shown an increase in intraabdominal pressure that is dependent on the degree of hemodilution after initiation of cardiopulmonary bypass, which has a significant impact in such bypass cases with cardiac arrest on mesenteric circulation [ 7 ]. Hypothermia is also reported to be a predisposing factor in ACS [ 4 ]. Cardiopulmonary bypass is associated with systemic inflammatory response, which can cause increased capillary permeability.…”

Section: Case Presentationmentioning

confidence: 99%

“…Various nonsurgical approaches, such as intraabdominal fluid drainage and neuromuscular blockade, have been shown to reduce intraabdominal pressure [ 8 ]. A decompression laparotomy should be considered to relieve pressure and restore capillary perfusion in the organs of critically ill patients [ 4 , 5 ]. In the present case, a relatively long period of time was needed to make a diagnosis of ACS, as there were several points to check to determine the reason for instability of cardiopulmonary bypass due to the small incision and insufficient view of the heart, vessels, and other side of the pleural cavity, which might have caused massive fluid resuscitation and requirement of extracorporeal membrane oxygen.…”

Section: Case Presentationmentioning

confidence: 99%

See 1 more Smart Citation

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

et al. 2016

View full text Add to dashboard Cite

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.

show abstract

“…abdominalne 6−8 i torakalne aneurizme 9 , neoperisanih bolesnika na nekontrolisanoj antikoagulantnoj terapiji sa krvarenjem u trbušnom zidu i abdomenu 10 , kao i kod bolesnika sa transplantiranom jetrom 11 , zbog reperfuzionog edema jetre i donor-recipijent nesrazmere 11 .…”

unclassified