Korean J Thorac Cardiovasc Surg.  2014 Feb;47(1):43-46.

Phlegmasia Cerulea Dolens after Coronary Artery Bypass Surgery: What Should We Know

Affiliations
  • 1Department of Thoracic and Cardiovascular Surgery, Korea University Anam Hospital, Korea.
  • 2Department of Thoracic and Cardiovascular Surgery, Kangwon National University Hospital, Korea.
  • 3Department of Cardiovascular Surgery, Sejong Heart Institute, Sejong General Hospital, Korea. kilsooyie@gmail.com

Abstract

Phlegmasia cerulea dolens (PCD) is one of the most critical disorders of acute deep vein thrombosis in that it can cause permanent disability secondary to the compartment syndrome. Although several etiological factors have been proposed, PCD after coronary artery bypass surgery is extremely rare and its definitive pathophysiology is still under debate. We herein present a case of PCD that resulted in the compartment syndrome after coronary artery bypass surgery. Early recognition and decompression of PCD are crucial for saving the affected limbs.

Keyword

Coronary artery bypass surgery; Complication; Compartment syndromes; Necrotizing fasciitis

MeSH Terms

Compartment Syndromes
Coronary Artery Bypass*
Coronary Vessels*
Decompression
Extremities
Fasciitis, Necrotizing
Venous Thrombosis
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