Management of Intraabdominal Compartment Syndrome Secondary to Anticoagulation Induced Retroperitoneal Haemorrhage after Aorto-Bifemoral Grafting
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 12
Abstract
Introduction: Post operative complications after major arterial surgeries are inevitable in some patients due to severe atherosclerosis. Advanced age groups, diabetics, hypertensives, coronary artery disease, chronic obstructive pulmonary disease compromise the outcome of peripheral vascular disease. Aorto- bifemoral bypass (ABF) is the most preferred surgery for patients with bilateral aortoiliac occlusive disease. For unilateral occlusion of contralateral iliac artery without significant stenosis, femoro femoral (FF) or iliofemoral (IF) bypass have been advocated. In all patients, cardiac, renal and respiratory status must be assessed before the aortic procedure. Case report: We report a 33 year old male patient with abdominal compartment syndrome following aorto-bifemoral and femoro-polpiteal bypass grafting, preoperatively evaluated and taken up for aortobifemoral and femorpopliteal bypass grafting though transabdominal approach. Recognition and management of IAH are key critical care measures which may decrease morbidity and improve survival in these vascular patients. Conclusion: Intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS) are common complications of ruptured abdominal aortoiliac aneurysms (rAAAs) and other abdominal vascular catastrophes even in the age of endovascular therapy. Morbidity and mortality due to systemic inflammatory response syndrome (SIRS) and multiple organ failure (MOF) are significant.
Authors and Affiliations
G Murali Hareesh, K Sudhakar Rao, Harivadan Lukka, Durga Prasad V N
Keywords
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