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Venous Gangrene (Phlegmasia Cerulea Dolens) Complicating Heart Failure from Severe Mitral Stenosis—A Case History

Department of Medicine, University of Hong Kong, Queen Mary Hospital, Hong Kong

Wing-Hung Leung

Department of Medicine, University of Hong Kong, Queen Mary Hospital, Hong Kong

Cheuk-Kit Wong

Department of Medicine, University of Hong Kong, Queen Mary Hospital, Hong Kong

Chun-Ho Cheng

Department of Medicine, University of Hong Kong, Queen Mary Hospital, Hong Kong

Gangrene of the left upper limb was found to complicate severe mitral stenosis presenting with heart failure in a sixty-eight-year-old woman with a documented left atrial thrombus. Arterial obstruction as the cause of gangrene was excluded by Doppler-assisted assessment of the peripheral pulses. Venous gangrene can complicate severe mitral stenosis and must be distinguished from arterial embolization, in which urgent surgical treatment is imperative.

Angiology, Vol. 42, No. 8, 654-658 (1991)
DOI: 10.1177/000331979104200808


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