DROPPED FOOT AND COMPARTMENT SYNDROME IN LOWER EXTREMITY AFTER CORONARY ARTERY BYPASS GRAFTING SURGERY

Arif TARHAN, Fikri YAPICI, Onur TÜREK, Mehmet YILMAZ, Nihan YAPICI, Yücesin ARSLAN, Tamer KEHLİBAR, Azmi ÖZLER

Dr. Siyami Ersek Göğüs Kalp ve Damar Cerrahisi Merkezi, Kalp Damar Cerrahisi Kliniği, İstanbul

Two patients without prior vascular disease developed unilateral right dropped foot and compartment syndrome with myonecrosis within 12 hours following uncomplicated coronary surgery. Risk factors have been searched. The common thread in each case was a tight elastic wrap that was applied before cardiopulmonary bypass which was associated with a low systolic blood pressure (low cardiac output). Especially on patients with peripheral vascular insufficiency keeping leg in comfortable position and avoiding the elastic wrap until after CPB will eliminate this complication.

Keywords : Compartment syndrome, coronary bypass surgery, elastic wrap

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