{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T06:10:09Z","timestamp":1756361409548,"version":"3.44.0"},"reference-count":9,"publisher":"BMJ","issue":"9","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,7,13]]},"published-print":{"date-parts":[[2019,9]]},"abstract":"<jats:p>A 63-year-old male with severe mitral valve regurgitation underwent an elective minimally invasive mitral valve repair. Peripheral cannulation of the right femoral vein and artery was performed with a total cardiopulmonary bypass time of 268\u2009min. There were no intraoperative complications. 12\u2009hours postoperatively the patient reported mild pain in the right lower leg with a subjective decrease in sensation. Compartmental pressures were significantly raised. The patient underwent lower leg fasciotomies, which revealed bulging compartments confirming the diagnosis of an evolving compartment syndrome (CS). This rare case demonstrates the highly variable aetiology, pathophysiology and presenting symptoms of CS. Clinicians in any specialty should consider this diagnosis if there is a possibility of local vascular compromise secondary to an intervention\/treatment. This diagnosis is not exclusive to patients with trauma and as such clinicians should have a high index of suspicion for this potentially devastating condition.<\/jats:p>","DOI":"10.1136\/bcr-2019-229692","type":"journal-article","created":{"date-parts":[[2019,9,16]],"date-time":"2019-09-16T21:05:48Z","timestamp":1568667948000},"page":"e229692","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["A silent compartment syndrome following elective minimally invasive mitral valve repair"],"prefix":"10.1136","volume":"12","author":[{"given":"Charles","family":"Godavitarne","sequence":"first","affiliation":[{"name":"Department of Trauma and Orthopaedics, NHS, Tunbridge Wells Hospital, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joideep","family":"Phadnis","sequence":"additional","affiliation":[{"name":"Department of Trauma and Orthopaedics, Brighton and Sussex University Hospitals NHS Trust, Brighton, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ishtiaq","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Department of Trauma and Orthopaedics, Brighton and Sussex University Hospitals NHS Trust, Brighton, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,9,16]]},"reference":[{"key":"2025082722570344000_12.9.e229692.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2005.01.007"},{"key":"2025082722570344000_12.9.e229692.2","doi-asserted-by":"crossref","first-page":"300","DOI":"10.1055\/s-0034-1395443","article-title":"Acute compartment syndrome of the lower leg after coronary artery bypass grafting: a silent but dangerous complication","volume":"63","author":"Te Kolste","year":"2015","journal-title":"Thorac Cardiovasc Surg"},{"key":"2025082722570344000_12.9.e229692.3","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1053\/j.semvascsurg.2009.01.001","article-title":"Metabolic consequences of acute limb ischemia and their clinical implications","volume":"22","author":"Eliason","year":"2009","journal-title":"Semin Vasc Surg"},{"key":"2025082722570344000_12.9.e229692.4","doi-asserted-by":"crossref","first-page":"380","DOI":"10.1097\/TA.0000000000001107","article-title":"Managing missed lower extremity compartment syndrome in the physiologically stable patient: a systematic review and lessons from a Level I trauma center","volume":"81","author":"Glass","year":"2016","journal-title":"J Trauma Acute Care Surg"},{"key":"2025082722570344000_12.9.e229692.5","doi-asserted-by":"publisher","DOI":"10.1046\/j.1440-1827.1999.00829.x"},{"key":"2025082722570344000_12.9.e229692.6","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2011.03.008"},{"key":"2025082722570344000_12.9.e229692.7","doi-asserted-by":"crossref","first-page":"1927","DOI":"10.1016\/j.athoracsur.2016.09.098","article-title":"Complications associated with femoral cannulation during minimally invasive cardiac surgery","volume":"103","author":"Lamelas","year":"2017","journal-title":"Ann Thorac Surg"},{"key":"2025082722570344000_12.9.e229692.8","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1177\/0267659118768151","article-title":"Risk factors to predict leg ischemia in patients undergoing single femoral artery cannulation in minimally invasive cardiac surgery","volume":"33","author":"Tarui","year":"2018","journal-title":"Perfusion"},{"key":"2025082722570344000_12.9.e229692.9","doi-asserted-by":"crossref","first-page":"378","DOI":"10.3400\/avd.oa.17-00055","article-title":"Predictive factors for post-ischemic compartment syndrome in non-traumatic acute limb ischemia in a lower extremity","volume":"10","author":"Orrapin","year":"2017","journal-title":"Ann Vasc Dis"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2019-229692","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T05:57:13Z","timestamp":1756360633000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2019-229692"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,9]]},"references-count":9,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2019,9,16]]},"published-print":{"date-parts":[[2019,9]]}},"alternative-id":["10.1136\/bcr-2019-229692"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2019-229692","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2019,9]]}}}