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Ann Thorac Surg 1996;61:730-733
© 1996 The Society of Thoracic Surgeons


Case Report

Thigh Ischemia Complicating Femoral Vessel Cannulation for Cardiopulmonary Bypass

Jonathan D. Gates, MD, David P. Bichell, MD, Robert J. Rizzo, MD, Gregory S. Couper, MD, Magruder C. Donaldson, MD

Divisions of Trauma and Critical Care, and Cardiothoracic Surgery, Brigham and Women's Hospital, and Harvard Medical School, Boston, Massachusetts

Accepted for publication July 29, 1995.

Compartment syndrome of the lower leg is an occasional complication of prolonged ischemia and reperfusion. Compartment syndrome of the thigh is a less well-recognized complication. We present 2 patients with compartment syndrome of the ipsilateral thigh after femoral arterial and venous cannulation for cardiopulmonary bypass. Early diagnosis and urgent decompressive fasciotomy may limit the extent of local tissue damage and subsequent myonephropathic syndrome.




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