Buttocks Hard as Rocks: Not Wanted after Aortic Dissection Repair

Stéphan Langevin,Valérie Lafrenière-Bessi,Maude Cameron-Gagné,Maxime Laflamme,François Dagenais,Marie-Hélène Lévesque,Frédéric Jacques,Pierre Voisine,Luc Bédard

doi:10.1055/s-0038-1639379

Stéphan Langevin, Valérie Lafrenière-Bessi + Show 7 more

Open Access

https://doi.org/10.1055/s-0038-1639379

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Abstract

The authors report the case of a patient developing a gluteal compartment syndrome after DeBakey type I dissection repair. Prompt recognition and treatment led to successful results. The surgical approach to the gluteal compartment is described.

Highlights

A muscular compartment as hard as a rock is a cause for concern
We report the case of a patient developing a Gluteal compartment syndrome (GCS) after type A aortic dissection repair
The mechanism of GCS in our patient is most likely related to a temporary dynamic malperfusion of the left iliac artery axis in relation to an overpressurized false lumen

Summary

Introduction

A muscular compartment as hard as a rock is a cause for concern. The gluteal compartment or “buttock” is no exception. Keywords ► gluteal compartment syndrome ► type A aortic dissection repair ► aortic dissection complication The authors report the case of a patient developing a gluteal compartment syndrome after DeBakey type I dissection repair. Gluteal compartment syndrome (GCS) is rarely reported.

Results

Conclusion