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Compartment syndrome following minimally invasive mitral valve repair: A case report
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 tota...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9647293/ https://www.ncbi.nlm.nih.gov/pubmed/36388639 http://dx.doi.org/10.1177/2050313X221135995 |
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author | Bui, Vinh Duc An Le, Michael Minh Nguyen, Dang Pham, Chuong Tran Viet Thomas, Hannah Nguyen, Dinh Hoang |
author_facet | Bui, Vinh Duc An Le, Michael Minh Nguyen, Dang Pham, Chuong Tran Viet Thomas, Hannah Nguyen, Dinh Hoang |
author_sort | Bui, Vinh Duc An |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-9647293 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-96472932022-11-15 Compartment syndrome following minimally invasive mitral valve repair: A case report Bui, Vinh Duc An Le, Michael Minh Nguyen, Dang Pham, Chuong Tran Viet Thomas, Hannah Nguyen, Dinh Hoang SAGE Open Med Case Rep Case Report 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. SAGE Publications 2022-11-07 /pmc/articles/PMC9647293/ /pubmed/36388639 http://dx.doi.org/10.1177/2050313X221135995 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Case Report Bui, Vinh Duc An Le, Michael Minh Nguyen, Dang Pham, Chuong Tran Viet Thomas, Hannah Nguyen, Dinh Hoang Compartment syndrome following minimally invasive mitral valve repair: A case report |
title | Compartment syndrome following minimally invasive mitral valve
repair: A case report |
title_full | Compartment syndrome following minimally invasive mitral valve
repair: A case report |
title_fullStr | Compartment syndrome following minimally invasive mitral valve
repair: A case report |
title_full_unstemmed | Compartment syndrome following minimally invasive mitral valve
repair: A case report |
title_short | Compartment syndrome following minimally invasive mitral valve
repair: A case report |
title_sort | compartment syndrome following minimally invasive mitral valve
repair: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9647293/ https://www.ncbi.nlm.nih.gov/pubmed/36388639 http://dx.doi.org/10.1177/2050313X221135995 |
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