Bilateral compartment syndrome after surgical perfusion for chronic ischemia of the lower extremities

A 61-year-old man diagnosed with advanced stage Leriche syndrome underwent revascularization surgery with placement of an aortobifemoral shunt and prosthesis under combined general and lumbar epidural anesthesia. After 6 hours he developed bilateral lower extremity compartment syndrome with acute an...

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Bibliographic Details
Published in:	Revista española de anestesiología y reanimación Vol. 51; no. 3; p. 155
Main Authors:	Mendieta, J M, Rubio, J, Elías, M, Company, R
Format:	Journal Article
Language:	Spanish
Published:	Spain 01-03-2004
Subjects:	Acute Kidney Injury - etiology Anesthesia, Epidural - adverse effects Anuria - etiology Aorta, Abdominal - surgery Blood Vessel Prosthesis Implantation Compartment Syndromes - diagnosis Compartment Syndromes - etiology Early Diagnosis Fatal Outcome Femoral Artery - surgery Heart Arrest - etiology Humans Hyperkalemia - etiology Leriche Syndrome - surgery Male Middle Aged Postoperative Complications - diagnosis Postoperative Complications - etiology Reperfusion Injury - complications Reperfusion Injury - diagnosis Rhabdomyolysis - etiology
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Summary:	A 61-year-old man diagnosed with advanced stage Leriche syndrome underwent revascularization surgery with placement of an aortobifemoral shunt and prosthesis under combined general and lumbar epidural anesthesia. After 6 hours he developed bilateral lower extremity compartment syndrome with acute anuric kidney failure caused by severe rhabdomyolysis. Thirty hours after surgery the patient suffered cardiac arrest due to hyperkalemia and was unresponsive to advanced cardiopulmonary resuscitation. The delay in diagnosis, in part owing to the epidural block provided for surgery, and loss of muscle mass led to the unfavorable outcome in this case.
ISSN:	0034-9356