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CURRENT ISSUETHE JOURNAL OF CARDIOVASCULAR SURGERY

A Journal on Cardiac, Vascular and Thoracic Surgery


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CASE REPORTS  VASCULAR SECTION


The Journal of Cardiovascular Surgery 2001 August;42(4):551-4

language: English

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


PDF  REPRINTS


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.

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