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THE JOURNAL OF CARDIOVASCULAR SURGERY

Rivista di Chirurgia Cardiaca, Vascolare e Toracica


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CASE REPORTS  CARDIAC SECTION


The Journal of Cardiovascular Surgery 2002 February;43(1):49-50

Copyright © 2009 EDIZIONI MINERVA MEDICA

lingua: Inglese

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


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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.

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