Post transradial coronary angioplasty compartimental syndrome

Abstract

Introduction: The compartment syndrome is caused by an increase on the compartment pressure that exceed the perfusion pressure. In coronary postangioplasty context it is a rare entity. Requires a high suspicion and to take fast steps.

Clinical case: Forty-one years old man with a STEMI thrombolysed and derived to angioplasty suffered a post-procedure bleeding on his right forearm and evolved with a compartment syndrome that required a volar and medial fasciotomy.

Discussion: The clinical entity is rare in this context, so require a high suspicion based basically on sudden pain with an increase of volume. The treatment is the urgent fasciotomy. To not diagnose it at time could evolve with severe neuromuscular disorders and hand anatomy disorders.