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THE JOURNAL OF CARDIOVASCULAR SURGERY
A Journal on Cardiac, Vascular and Thoracic Surgery
Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,632
CASE REPORTS VASCULAR SECTION
The Journal of Cardiovascular Surgery 2001 August;42(4):551-4
Upper extremity venous gangrene following coronary artery bypass. A case report and review of the literature
Sullivan V. V., Wolk S. W., Lampman R. M., Prager R. L. *, Hankin F. M., Whitehouse W. M. Jr.
From the Department of Surgery St. Joseph Mercy Hospital, Ann Arbor, MI
*University of Michigan Medical Center Ann Arbor, MI, USA
Acute symptomatic upper extremity deep vein thrombosis (DVT) are estimated to account for only 2-4% of all deep vein thrombosis. Upper extremity DVT leading to phlegmasia cerulea dolens (PCD) occurs in an estimated 2-5% of these cases. Progression of PCD to venous gangrene is extremely rare with only 16 previously reported cases in the literature. Only 7 of the cited cases document significant tissue loss. This report describes a 61-year-old male who developed upper extremity DVT complicated by PCD which led to venous gangrene and limb loss.