Venous gangrene of the lower limbs following aortic valve replacement for native valve endocarditis

Bacterial endocarditis is a complex disease associated with high morbidity and mortality with complications that include acute heart failure and arterial embolism. Venous thrombosis of the lower limbs is not uncommon following all forms of surgery, but infrequent following cardiac surgery, and rarel...

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Bibliographic Details
Published in:European journal of cardio-thoracic surgery 1998-10, Vol.14 (4), p.440-442
Main Authors: Awad, Wael I., Coumbe, Adam, Walesby, Robin K.
Format: Article
Language:English
Subjects:
Aortic Valve - surgery
Biological and medical sciences
Cardiac surgery
Endocarditis
Endocarditis, Bacterial - surgery
Fatal Outcome
Female
Gangrene
Gangrene - etiology
Heart Valve Prosthesis Implantation - adverse effects
Humans
Leg - blood supply
Medical sciences
Middle Aged
Multiple Organ Failure - etiology
Recurrence
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the heart
Thrombosis
Venous Thrombosis - etiology
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Summary:Bacterial endocarditis is a complex disease associated with high morbidity and mortality with complications that include acute heart failure and arterial embolism. Venous thrombosis of the lower limbs is not uncommon following all forms of surgery, but infrequent following cardiac surgery, and rarely progresses to venous gangrene. We report a case of bilateral lower-limb venous gangrene, in a 49-year-old female who underwent aortic valve replacement for native valve endocarditis. The possible aetiology of this complication is discussed.
ISSN:1010-7940
1873-734X
DOI:10.1016/S1010-7940(98)00216-4