Síndrome compartimental agudo extremidad inferior después de cirugía cardíaca

  1. Arévalo Pardal, A. M.
  2. Brizuela, J. A.
  3. Valenzuela Livia, H.
  4. Laguna Núñez, G.
  5. Maroto Pérez, L.
  6. Flórez, S.
Journal:
Revista española de investigaciones quirúrgicas

ISSN: 1139-8264

Year of publication: 2012

Volume: 15

Issue: 3

Pages: 144-148

Type: Article

More publications in: Revista española de investigaciones quirúrgicas

Abstract

Acute compartmental syndrome in the postoperative period of cardiac surgery with cardiopulmonary bypass, especially after coronary artery bypass graft surgery is a severe complication that rarely occurs during the firsts hours after surgery; diagnosis requires a high level of suspicion and emergency surgical treatment. We report a case of compartmental syndrome of lower extremity in a patient with degenerative aortic valve disease and associated coronary disease, who underwent valve replacement and aortocoronary bypass with venous ad arterial grafts, pointing at the pathophysiological mechanisms that triggers this serious complication, and the need for early and accurate diagnosis and inmmediate surgical management.