[Compartment Syndrome After Stanford Type A Acute Aortic Dissection Surgery:Report of a Case].
Kyobu Geka
; 76(9): 714-718, 2023 Sep.
Article
in Ja
| MEDLINE
| ID: mdl-37735732
ABSTRACT
A 53-year-old man presented to the emergency department with chest and back pain. Contrast-enhanced computed tomography( CT) revealed a Stanford type A acute aortic dissection with a pseudo-lumen occlusion. On the same day, the patient underwent emergent aortic arch replacement with frozen elephant trunk. When introducing cardiopulmonary bypass, arterial cannula was inserted into the right femoral artery. The day after surgery, swelling of the right lower leg appeared with CK and intramuscular compartment pressure elevation. Thus, the patient was diagnosed with compartment syndrome and decompressive fasciotomy was performed. Although there was no preoperative blood flow disturbance in the lower extremities on preoperative CT, lower limbs ischemia happened. Necrotic muscles in his right leg required debridement, but amputation was not needed. The patient was discharged unaided utilising orthotics on the day 120. In muscular, young male patients, care should be taken in the method of blood delivery.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Compartment Syndromes
/
Aortic Dissection
Type of study:
Etiology_studies
Limits:
Humans
/
Male
/
Middle aged
Language:
Ja
Journal:
Kyobu Geka
Year:
2023
Document type:
Article
Affiliation country:
Japan