title: Pressure bandage over venous conduit harvesting site causing compartment syndrome in a patient with intra-aortic balloon pump: An unusual cause.
abstract: Intra Aortic Balloon Pump (IABP) is conventionally used to support coronary perfusion and weaning from cardiopulmonary bypass. IABP in situ has its own share of complications. We present a case where a patient on IABP support who had reduced peripheral pulsations of the ipsilateral limb and was initially misdiagnosed as IABP catheter associated thromboembolism. A negative embolectomy ruled out the same. Further looking for the cause of reduction of ipsilateral pulses it was found that the tight compressive bandage at saphenous vein conduit harvesting site had led to development of compartment syndrome (CS).
authors.affiliation: Department of Anaesthesiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
authors.forename: Amit
authors.initials: A
authors.lastname: Rastogi
authors.forename: Rudrashish
authors.initials: R
authors.lastname: Haldar
authors.forename: Gauranga
authors.initials: G
authors.lastname: Majumdar
authors.forename: Akhilesh
authors.initials: A
authors.lastname: Pahade
authors.forename: Prabhat K
authors.initials: PK
authors.lastname: Singh
mesh_terms: D000328:Adult; D001458:Bandages / Q000009:adverse effects*; D003161:Compartment Syndromes / Q000209:etiology*; D006801:Humans; D007423:Intra-Aortic Balloon Pumping; D008297:Male; D012307:Risk Factors; D012501:Saphenous Vein / Q000601:surgery*