Compartment syndrome after endoscopic harvest of the great saphenous vein during coronary artery bypass grafting.
Compartment syndrome is a limb-threatening condition often associated with traumatic, crush, burn, and reperfusion injuries. It is characterized by the development of disproportionately severe pain, paresthesias, decreased range of motion, loss of pulse, and a tense, edematous limb. In addition, measured compartment pressures and creatine phosphokinase values are often elevated. The definitive treatment is a decompressive fasciotomy. Compartment syndrome after coronary artery bypass grafting, however, is rare. The few reported cases all occurred in the vein donor leg after open harvest. We present a patient with compartment syndrome after endoscopic harvest of the saphenous vein for coronary artery bypass grafting.
Kolli
Aparna
A
State University of New York Downstate Medical Center, Brooklyn, New York 11203, USA. ahkolli@hotmail.com
Au
Joyce T
JT
Lee
Daniel C
DC
Klinoff
Natalie
N
Ko
Wilson
W
D003161:Compartment Syndromes / Q000209:etiology* / Q000628:therapy; D001026:Coronary Artery Bypass / Q000379:methods*; D004724:Endoscopy / Q000009:adverse effects / Q000379:methods*; D005500:Follow-Up Studies; D006801:Humans; D007432:Intraoperative Period; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000601:surgery*; D026741:Physical Therapy Modalities; D012501:Saphenous Vein / Q000637:transplantation*; D053828:Stockings, Compression; D020858:Tissue and Organ Harvesting / Q000009:adverse effects* / Q000379:methods