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J Thorac Cardiovasc Surg 2006;131:1173-1174
© 2006 The American Association for Thoracic Surgery

Brief Communication

Lower extremity compartment syndrome after off-pump aortocoronary bypass

Department of Cardiac Surgery, Frontier Lifeline, International Centre for Cardiovascular and Thoracic Diseases, Mogappair, India

Received for publication December 16, 2005; accepted for publication December 30, 2005.

^_* Address for reprints: Karthik Vaidyanathan R, International Centre for Cardiovascular and Thoracic Diseases, R 30 C Ambattur Industrial Estate Road, Mogappair, Chennai-600101, India (Email: rkvdoc@rediffmail.com).

The first 20% of the full text of this article appears below.

Lower extremity compartment syndrome is a rare complication after on-pump coronary artery bypass grafting (CABG). It is associated with fasciotomy wound-related morbidity, occasional amputation, and universal occurrence of permanent foot drop. Compartment syndrome after off-pump CABG has not been reported so far. We report a case of lower limb compartment syndrome after off-pump CABG.

Case Report

A 54-year-old diabetic, hypertensive, nonsmoking man was detected to have echocardiographic changes of an old inferior wall myocardial infarct on routine cardiac evaluation. Treadmill test result was positive, and a subsequent coronary angiogram showed proximal triple vessel disease. His left ventricular function was normal with an ejection fraction of 65%. He had no other comorbidities. His renal and liver functions were normal. The patient underwent off-pump CABG with the left internal thoracic artery grafted . . . [Full Text of this Article]

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