Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2023 Mar 30;15(3):e36895.
doi: 10.7759/cureus.36895. eCollection 2023 Mar.

Constriction Band Release in a Neonatal Ischemic Limb: A Pediatric Anesthesiology Case Report

James Paul  1 , Taylor Kaiser  2 , Delaney A Dalldorf  3 , Brian Chenoweth  4 , Eddison Williams  5 , Joseph M Sisk  3
Affiliations
Case Reports

Constriction Band Release in a Neonatal Ischemic Limb: A Pediatric Anesthesiology Case Report

James Paul et al. Cureus. .

Abstract

A 1.1 Kg, four-hour-old, 29-weeks-gestation male patient presented with right upper extremity ischemia secondary to neonatal constriction band syndrome. Emergency constriction band release was deemed necessary to facilitate limb salvage. The anesthetic management of this patient required close communication with the surgical team and meticulous attention to the risks of post-reperfusion syndrome and blood loss in this fragile neonate. Limb salvage was ultimately successful, and the patient demonstrated full neurologic recovery at his two-year follow-up visit.

Keywords: constriction band syndrome; fasciotomy; neonatal limb ischemia; pediatric anesthesiology; post-reperfusion syndrome.

PubMed Disclaimer

Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Neonate immediately after birth with a constriction band on the right upper extremity causing limb ischemia.
Figure 2
Figure 2. Right upper extremity following constriction band release and anterior and poster compartment fasciotomies.
Figure 3
Figure 3. Infant at six months of age showing the successfully salvaged right upper extremity.
Figure 4
Figure 4. Infant at six months of age showing the successfully salvaged right upper extremity.
See this image and copyright information in PMC

References

    1. Congenital constriction band syndrome with limb defects. Koskimies E, Syvänen J, Nietosvaara Y, Mäkitie O, Pakkasjärvi N. J Pediatr Orthop. 2015;35:100–103. - PubMed
    1. Successful early surgical treatment in neonatal compartment syndrome: case report. Plancq MC, Buisson P, Deroussen F, Krim G, Collet LM, Gouron R. J Hand Surg Am. 2013;38:1185–1188. - PubMed
    1. Focal deficiencies in fetal tissues and their relation to intrauterine amputations. Streeter G. https://embryology.med.unsw.edu.au/embryology/index.php/Paper_-_Focal_de... Carnegie Inst Contrib Embryol. 1930;126:1–44.
    1. Update on complications in pediatric anesthesia. De Francisci G, Papasidero AE, Spinazzola G, et al. Pediatr Rep. 2013;5:0. - PMC - PubMed
    1. Acute limb ischemia-much more than just a lack of oxygen. Simon F, Oberhuber A, Floros N, Busch A, Wagenhäuser MU, Schelzig H, Duran M. Int J Mol Sci. 2018;19 - PMC - PubMed

Publication types

LinkOut - more resources