Bui VDA, Le MM, Nguyen D, Pham CTV, Thomas H, Nguyen DH. Compartment syndrome following minimally invasive mitral valve repair: A case report.
SAGE Open Med Case Rep 2022;
10:2050313X221135995. [PMID:
36388639 PMCID:
PMC9647293 DOI:
10.1177/2050313x221135995]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2022] [Accepted: 10/13/2022] [Indexed: 11/11/2022] Open
Abstract
A 38-year-old Asian male with severe mitral valve regurgitation underwent
elective minimally invasive mitral valve repair with artificial chordae and
concomitant Cox-Maze procedure. Cardiopulmonary bypass required large peripheral
cannulas due to the patient’s increased body surface area with a total bypass
time of 216 min. At 10 h, the patient reported progressive right lower extremity
pain with evidence of swelling, diffuse paresthesias, and weak peripheral
pulses. The patient underwent double-incision lower leg fasciotomies, revealing
significant interstitial fluid and bulging muscle chambers. Compartment syndrome
demonstrates non-traumatic etiologies. Elevated body mass index, Kawashima Type
D femoral artery classification, prolonged bypass times, driven partially due to
concomitant Cox-Maze, and larger cannula sizes should increase the index of
suspicion.
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