Document Detail


Compartment syndrome of the thigh as a complication of anticoagulant therapy in a patient with a left ventricular assist device (Berlin Heart).
MedLine Citation:
PMID:  20859728     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A nontraumatic case of compartment syndrome of the thigh in a patient on anticoagulant therapy for a left ventricular assist device (LVAD) is reported. A 51-year-old man was on low-molecular-weight heparin (LMWH) anticoagulation and antiplatelet drugs for his LVAD, when he had a spontaneous-onset compartment syndrome of the posterior compartment of the left thigh, which was treated with urgent fasciotomy. Although compartment syndromes in the thigh are rare and mostly traumatic in origin, all clinicians must maintain a high degree of suspicion; moreover, although most often bleeding associated with LMWH is minor, occasionally it results in a major bleed resulting in limb-threatening conditions such as a compartment syndrome.
Authors:
Rahul Kakkar; Matthew Ellis; Paul V Fearon
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-09-22
Journal Detail:
Title:  General thoracic and cardiovascular surgery     Volume:  58     ISSN:  1863-6713     ISO Abbreviation:  Gen Thorac Cardiovasc Surg     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-09-22     Completed Date:  2011-01-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101303952     Medline TA:  Gen Thorac Cardiovasc Surg     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  477-9     Citation Subset:  IM    
Affiliation:
Newcastle General Hospital, Westgate Road, Newcastle upon Tyne, NE4 6BE, UK. rahulkaks@rediffmail.com
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MeSH Terms
Descriptor/Qualifier:
Anticoagulants / adverse effects*
Compartment Syndromes / etiology*,  surgery
Heart Failure / therapy*
Heart-Assist Devices*
Hemorrhage / etiology*
Heparin, Low-Molecular-Weight / adverse effects*
Humans
Male
Middle Aged
Chemical
Reg. No./Substance:
0/Anticoagulants; 0/Heparin, Low-Molecular-Weight; 0/tinzaparin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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