Acute Compartment Syndrome of the Lower Leg after Coronary Artery Bypass Grafting: A Silent but Dangerous Complication

Kolste, H. J. te; Balm, Ron; Mol, Bas A.J.M. de

doi:10.1055/s-0034-1395443

Cited by 12 publications

(5 citation statements)

References 23 publications

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“…En pacientes con patología cardiovascular se ha informado SCA después de una cirugía cardíaca, en general en la misma extremidad de donde se extrajo la vena safena. Después de este tipo de cirugía, el diagnóstico no es fácil, ya que el paciente suele estar con ventilación asistida y no se puede obtener información sobre el estado funcional 9 . El SCA también se ha descrito después de procedimientos endovasculares aórticos prolongados, muy probablemente debido a una isquemia prolongada 10 .…”

Section: Discussionunclassified

Síndrome compartimental peroneo bilateral atraumático agudo tras cirugía de acceso a diálisis

Pinto,

López,

Bullone

et al. 2024

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Resumen El síndrome compartimental atraumático agudo es una entidad rara; del compartimento peroneo es aún más raro, y bilateral, todavía más. Se presenta el caso de un paciente a quien se le efectuó una cirugía de rescate de una megafístula braquiocefálica con tres aneurismas asociados a una estenosis del arco cefálico. La técnica consistió en la aneurismectomía, eliminación de la vena sobrante, transposición y una anastomosis nueva distal a la vena axilar. La duración del procedimiento fue de 220 minutos y se realizó anestesia general. Al día siguiente, el paciente refirió parestesias en la pierna izquierda, dolor e incapacidad para evertir el pie izquierdo ni caminar. Los pulsos arteriales eran normales, así como el Doppler de onda de pulso. La resonancia magnética confirmó el síndrome compartimental peroneo y se realizó una fasciotomía de urgencia. Mientras se recuperaba con plena sensibilidad y motilidad durante las siguientes 24 horas en el lado izquierdo, presentó dolor y calambres en el compartimento peroneo derecho sin síntomas más graves, por lo que no se realizó fasciotomía; el cuadro resolvió de manera espontánea en 24 horas. Este es el primer caso informado de síndrome compartimental peroneo bilateral atraumático luego de cirugía de acceso a diálisis, con recuperación total después del tratamiento rápido.

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Section: Discussionunclassified

Síndrome compartimental peroneo bilateral atraumático agudo tras cirugía de acceso a diálisis

Pinto,

López,

Bullone

et al. 2024

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Section: Discussionunclassified

Acute atraumatic bilateral peroneal compartment syndrome after dialysis access surgery

Pinto,

López,

Bullone

et al. 2024

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SCIENTIFIC LETTERACUTE ATRAUMATIC BILATERAL PERONEAL COMPARTMENT SYNDROME AFTER DIALYSIS ACCESS SURGERYReceived: 11/06/2023 Accepted: 11/20/2023 https://doi.org/10.55200/raccv.v22.n1.0062ABSTRACTAcute atraumatic compartment syndrome is a rare entity; of the peroneal compartment, it is even rarer and bilateral even more so. We present the case of a patient who underwent surgery to rescue a brachiocephalic mega-fistula with three aneurysms associated with a stenosis of the cephalic arch. The technique consisted of aneurysmectomy, removal of the excess vein, transposition, and a new anastomosis distal to the axillary vein. The procedure lasted 220 minutes, and general anesthesia was used. The following day, the patient reported left leg paraesthesia, pain, and inability to evert the left foot or walk. Arterial pulses were normal, as was pulse wave Doppler. MRI confirmed peroneal compartment syndrome, and an emergency fasciotomy was performed. While recovering with full sensation and motility for the next 24 hours on the left side, she presented with pain and cramps in the right peroneal compartment without more severe symptoms, so fasciotomy was not performed; the condition resolved spontaneously within 24 hours. This is the first reported case of atraumatic bilateral peroneal compartment syndrome after dialysis access surgery, with full recovery after prompt treatment.

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“… 1 Other reports suggest compartment syndrome in lower extremities after harvesting bypass grafts and urologic procedures. 5 , 6 These patients may also be under heavy sedation and post-operative analgesia, further complicating early diagnosis. However, young athletes are usually able to determine when their pain progresses to abnormal levels and will seek medical aid.…”

Section: Discussionmentioning

confidence: 99%

Compartment Syndrome with Rhabdomyolysis in a Marathon Runner

Brinley¹,

Chakravarthy²,

Kiester³

et al. 2018

CPC-EM

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A 38-year-old female seasoned marathon runner presented to the emergency department (ED) with increasing right lower extremity pain after running two mid-distance races in one weekend. The patient had previously run many two-day races and longer distances, but recently had gained weight and had not been training. This case report details her presenting symptoms, evaluation, review of the literature, and treatment with attention to the factors that led to the development of her pathologies.

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Acute Compartment Syndrome of the Lower Leg after Coronary Artery Bypass Grafting: A Silent but Dangerous Complication

Cited by 12 publications

References 23 publications

Síndrome compartimental peroneo bilateral atraumático agudo tras cirugía de acceso a diálisis

Síndrome compartimental peroneo bilateral atraumático agudo tras cirugía de acceso a diálisis

Acute atraumatic bilateral peroneal compartment syndrome after dialysis access surgery

Compartment Syndrome with Rhabdomyolysis in a Marathon Runner

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