Open AccessPressure bandage over venous conduit harvesting site causing compartment syndrome in a patient with intra-aortic balloon pump: An unusual cause
Author(s) -
Amit Rastogi,
Rudrashish Haldar,
Gauranga Majumdar,
Akhilesh Pahade,
Prabhat Kumar Singh
Publication year - 2015
Publication title -
annals of cardiac anaesthesia/annals of cardiac anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.42
H-Index - 27
eISSN - 0974-5181
pISSN - 0971-9784
DOI - 10.4103/0971-9784.159823
Subject(s) - medicine , intra aortic balloon pump , bandage , surgery , electrical conduit , perfusion , cardiology , cardiopulmonary bypass , balloon , vein , intra aortic balloon pumping , myocardial infarction , cardiogenic shock , mechanical engineering , engineering
Intra Aortic Balloon Pump (IABP) is conventionally used to support coronary perfusion and weaning from cardiopulmonary bypass. IABP in situ has its own share of complications. We present a case where a patient on IABP support who had reduced peripheral pulsations of the ipsilateral limb and was initially misdiagnosed as IABP catheter associated thromboembolism. A negative embolectomy ruled out the same. Further looking for the cause of reduction of ipsilateral pulses it was found that the tight compressive bandage at saphenous vein conduit harvesting site had led to development of compartment syndrome (CS).