Lower limb compartment syndrome following coronary artery bypass surgery: a rare entity

Abstract

Lower limb compartment syndrome following coronary artery bypass surgery is a rare complication that is easily overlooked. Here we report a case of lower limb compartment syndrome that was diagnosed and treated promptly in a 53-year-old man, thereby preventing a potentially lethal outcome.

Compartment Syndrome of the Vein Donor Leg Following an Uneventful Coronary Artery Bypass Surgery

“…Experimental and clinical studies have found that the absolute tissue pressures within the compartment ranging between 40 and 60 mmHg are capable of producing CS . But low blood pressure and external compression reduce the pressure threshold for tissue ischemia in this setting, and facilitate the occurrence of CS in the setting of low intra‐compartmental pressures . Whitesides et al suggested that ischemia might begin at an intra‐compartmental pressure 10–30 mmHg less than the diastolic pressure.…”

“…It has devastating consequences including drop foot, sensory loss in the foot, and even amputation of the compromised leg. Ten cases without an apparent predisposing factor have been reported in the literature . CS may occur not only in on‐pump CABG and open vein harvesting, but also in off‐pump surgery and endoscopic saphenous vein harvesting .…”

Acute Compartment Syndrome of the right lower extremity following Autologous Blood transfusion: A Case report

“…Compartment syndrome (CS) is an extremely rare complication during cardiac surgery and rare case reports have been linked to coronary artery bypass surgery [1]. During harvesting of saphenous vein, some branches may be ruptured and then hidden in the subfascial space.…”

“…These branches may bleed into the compartment space and lead to CS. Also, severe venous bleeding may be associated with subcutaneous hematoma which compresses the leg compartment [1]. Mild ischemia in this closet space is associated with edema and through a vicious cycle leads to CS.…”

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

“…ACoS after coronary artery bypass grafting (CABG) is rare and only 15 cases have been reported in the English language literature (►Tables 1 and 2). [2][3][4][5][6][7][8][9][10][11][12] In Keywords ► coronary artery bypass grafts surgery ► CABG ► anesthesia ► cardiopulmonary bypass ► CPB ► IABP ► intensive care ► postoperative care Abstract Background Acute compartment syndrome (ACoS) is a serious, limb-threatening condition, but ACoS after coronary artery bypass grafting (CABG) is rare. ACoS is diagnosed with the help of typical symptoms, but due to the use of analgesics in a postoperative setting, these symptoms may vary.…”