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THE JOURNAL OF CARDIOVASCULAR SURGERY
Rivista di Chirurgia Cardiaca, Vascolare e Toracica
Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,632
CASE REPORTS CARDIAC SECTION
The Journal of Cardiovascular Surgery 2002 February;43(1):49-50
Reflex sympathetic dystrophy: an unusual complication of radial artery graft harvesting
Tang A., Ohri S.
From the Department of Cardiac Surgery Wessex Regional Cardiac & Thoracic Unit Southampton, UK
Radial artery autograft is re-establishing its place as a conduit of choice in coronary artery revascularization. Its revival after initial abandonment followed the recent emergence of encouraging medium- to long-term patency rates. Limb complications following radial artery harvesting are fortunately rare although those involving vascular supply to the hand and wound rank among the most commonly reported problems. On the other hand, reflex sympathetic dystrophy in the donor limb leading to significant disability, as illustrated in this case report, has so far not been recognized. With increasing popularity of radial artery grafts in coronary surgery, such an important complication, though uncommon, may assume greater importance. Early recognition and prompt referral for appropriate treatment are essential to minimize the impact of reflex sympathetic dystrophy.