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

Copyright © 2009 EDIZIONI MINERVA MEDICA

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


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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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