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THE JOURNAL OF CARDIOVASCULAR SURGERY

Rivista di Chirurgia Cardiaca, Vascolare e Toracica


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CASE REPORTS  VASCULAR SECTION


The Journal of Cardiovascular Surgery 2002 Aprile;43(2):245-9

lingua: Inglese

Successful treatment of threatening limb loss ischemia of the upper limb caused by ergotamine. A case report and review of the literature

Safar H. A., Alanezi K. H., Cinà C. S.

From the Divi­sion of Vas­cular Sur­gery, Depart­ment of Sur­gery, Ham­ilton ­Health Sci­ences Cor­po­ra­tion, Gen­eral ­Campus ­McMaster Uni­ver­sity, Ham­ilton, ­Ontario, ­Canada


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We ­report a ­case of ­ischemia lim­ited to the ­upper ­limb ­caused by ­chronic use of ergot­a­mine. The ­effect of ­this ­drug was not ­related to hyper­sen­si­tivity or to the pot­en­tiating ­effects of ­other med­i­ca­tions. The ­patient was suc­cess­fully ­treated dis­con­tin­uing ergot­a­mine and admin­is­tering an ­alpha-­blocking ­agent for ­three ­months. A ­review of the lit­er­a­ture of the vas­cular com­pli­ca­tions of ergot­a­mine is pre­sented.

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