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Acute compartment syndrome of the lower leg causing cardiac arrest after resection of the right external iliac vein for autologous graft : a case report

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Title: Acute compartment syndrome of the lower leg causing cardiac arrest after resection of the right external iliac vein for autologous graft : a case report
Authors: Hoshino, Koji Browse this author
Nakamura, Toru Browse this author →KAKEN DB
Hayakawa, Mineji Browse this author →KAKEN DB
Itosu, Yusuke Browse this author
Saito, Hitoshi Browse this author
Hirano, Satoshi Browse this author →KAKEN DB
Morimoto, Yuji Browse this author →KAKEN DB
Keywords: Acute extremity compartment syndrome
Portal vein reconstruction
Hyperkalemia
Issue Date: Dec-2019
Publisher: Springer (SpringerOpen)
Journal Title: JA Clinical Reports
Volume: 5
Issue: 1
Start Page: 65
Publisher DOI: 10.1186/s40981-019-0286-2
Abstract: Background The right external iliac vein (REIV) is often used for portal vein reconstruction in patients undergoing pancreatoduodenectomy with portal-superior mesenteric vein resection. We report a case of cardiac arrest caused by acute lower leg compartment syndrome as a result of REIV resection. Case presentation A 53-year-old man underwent pancreatoduodenectomy with portal vein resection. Hyperkalemia progressed during surgery due to intestinal reperfusion injury, which caused recurrent ventricular arrhythmia required for cardio-pulmonary resuscitation. The surgery was discontinued after resuscitation, and portal vein reconstruction using the REIV was performed 2 days post-operatively. Acute compartment syndrome was diagnosed immediately following the surgery. Hyperkalemia progressed, causing pulseless ventricular tachycardia. Emergent fasciotomy was performed, but right leg dysfunction persisted after discharge. Conclusion REIV resection can cause lower-extremity acute compartment syndrome. The status, including intracompartmental pressure, of the lower extremity should be carefully observed after REIV resection during and after surgery.
Rights: https://creativecommons.org/licenses/by/4.0/
Type: article
URI: http://hdl.handle.net/2115/76187
Appears in Collections:北海道大学病院 (Hokkaido University Hospital) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)

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