Thigh ischemia complicating femoral vessel cannulation for cardiopulmonary bypass.
Compartment syndrome of the lower leg is an occasional complication of prolonged ischemia and reperfusion. Compartment syndrome of the thigh is a less well-recognized complication. We present 2 patients with compartment syndrome of the ipsilateral thigh after femoral arterial and venous cannulation for cardiopulmonary bypass. Early diagnosis and urgent decompressive fasciotomy may limit the extent of local tissue damage and subsequent myonephropathic syndrome.
Gates
J D
JD
Division of Trauma and Critical Care, Brigham and Women's Hospital, Boston, Massachusetts 02115, USA.
Bichell
D P
DP
Rizzo
R J
RJ
Couper
G S
GS
Donaldson
M C
MC
D000368:Aged; D002315:Cardiopulmonary Bypass / Q000009:adverse effects*; D002406:Catheterization, Peripheral / Q000009:adverse effects*; D002408:Catheters, Indwelling / Q000009:adverse effects; D003161:Compartment Syndromes / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D005263:Femoral Artery; D005268:Femoral Vein; D006801:Humans; D008297:Male; D008875:Middle Aged; D013848:Thigh / Q000098:blood supply*