Compartment syndrome of the foot associated with a delayed presentation of acute limb ischemia.
Compartment syndrome of the leg is a well-recognized complication known to follow urgent revascularization done for acute limb ischemia, but compartment syndrome of the foot has not been reported after the ischemia-reperfusion sequence. Herein we report a case of foot fasciotomy done for compartment syndrome that occurred after urgent revascularization. We suggest that foot fasciotomies should be considered in particular circumstances of acute lower leg ischemia, such as infrapopliteal thromboembolic events, prolonged ischemia, and persistent or worsening foot symptoms that follow revascularization and calf fasciotomies.
Division of Vascular Surgery and Endovascular Therapy, Michael E. DeBakey Department of Surgery, Baylor College of Medicine/Michael E. DeBakey Veterans Affairs Medical Center, Houston, Tex. Electronic address: nbarshes@bcm.tmc.edu.
Neal R
NR
Barshes
Division of Vascular Surgery and Endovascular Therapy, Michael E. DeBakey Department of Surgery, Baylor College of Medicine/Michael E. DeBakey Veterans Affairs Medical Center, Houston, Tex.
George
G
Pisimisis
Division of Vascular Surgery and Endovascular Therapy, Michael E. DeBakey Department of Surgery, Baylor College of Medicine/Michael E. DeBakey Veterans Affairs Medical Center, Houston, Tex.
Panos
P
Kougias
D000208:Acute Disease; D000369:Aged, 80 and over; D003161:Compartment Syndromes / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D019299:Decompression, Surgical / Q000379:methods; D000071938:Fasciotomy; D005528:Foot / Q000098:blood supply*; D006801:Humans; D007511:Ischemia / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D008297:Male; D020127:Recovery of Function; D012039:Regional Blood Flow; D012086:Reoperation; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000009:adverse effects*