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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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Published in: | European journal of cardio-thoracic surgery 1998-10, Vol.14 (4), p.440-442 |
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container_title | European journal of cardio-thoracic surgery |
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creator | Awad, Wael I. Coumbe, Adam Walesby, Robin K. |
description | 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. |
doi_str_mv | 10.1016/S1010-7940(98)00216-4 |
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The possible aetiology of this complication is discussed.</description><identifier>ISSN: 1010-7940</identifier><identifier>EISSN: 1873-734X</identifier><identifier>DOI: 10.1016/S1010-7940(98)00216-4</identifier><identifier>PMID: 9845154</identifier><identifier>CODEN: EJCSE7</identifier><language>eng</language><publisher>Amsterdam: Elsevier Science B.V</publisher><subject>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. 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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.</description><subject>Aortic Valve - surgery</subject><subject>Biological and medical sciences</subject><subject>Cardiac surgery</subject><subject>Endocarditis</subject><subject>Endocarditis, Bacterial - surgery</subject><subject>Fatal Outcome</subject><subject>Female</subject><subject>Gangrene</subject><subject>Gangrene - etiology</subject><subject>Heart Valve Prosthesis Implantation - adverse effects</subject><subject>Humans</subject><subject>Leg - blood supply</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Multiple Organ Failure - etiology</subject><subject>Recurrence</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the heart</subject><subject>Thrombosis</subject><subject>Venous Thrombosis - etiology</subject><issn>1010-7940</issn><issn>1873-734X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><recordid>eNptkE1vFSEYhYnR1Fr9CU1YGKMLFIavYWka9Zo00bRqGjeEYeCKMnCFuVX_vUznWmPihq_3OeeEA8Apwc8JJuLFZVsxkorhp6p_hnFHBGJ3wDHpJUWSsqu77fwHuQ8e1PoVYyxoJ4_AkeoZJ5wdA_vJpbyvcGvStrjkYPZw_uJgzD9cgTFMQ4U-x3YNaQtNLnOw8NrEaweL20Vj3eTS3JACk5lDe16HLo3ZmjKGOdSH4J43sbpHh_0EfHz96sPZBp2_e_P27OU5sox1M2JGKqKkNMYr6yWnHSe9IFxYOwyD5z1lkgnpu35kRHHM8CCp5Eo0kshhpCfgyeq7K_n73tVZT6FaF6NJrv1RS0xIc2AN5CtoS661OK93JUym_NIE66VcfVOuXprTqtc35epFd3oI2A-TG29Vhzbb_PFhbqo10ReTbKh_zXnPu440DK9Y3u_-n4z-SUaLM1oloc7u563IlG9aLCXozdVnLS5pt3kvL_QF_Q0Qm561</recordid><startdate>19981001</startdate><enddate>19981001</enddate><creator>Awad, Wael I.</creator><creator>Coumbe, Adam</creator><creator>Walesby, Robin K.</creator><general>Elsevier Science B.V</general><general>Elsevier Science</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19981001</creationdate><title>Venous gangrene of the lower limbs following aortic valve replacement for native valve endocarditis</title><author>Awad, Wael I. ; Coumbe, Adam ; Walesby, Robin K.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c442t-4a791977aaf9cf75325186156ccbbbf58347467f28d4195040b73759653217bd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Aortic Valve - surgery</topic><topic>Biological and medical sciences</topic><topic>Cardiac surgery</topic><topic>Endocarditis</topic><topic>Endocarditis, Bacterial - surgery</topic><topic>Fatal Outcome</topic><topic>Female</topic><topic>Gangrene</topic><topic>Gangrene - etiology</topic><topic>Heart Valve Prosthesis Implantation - adverse effects</topic><topic>Humans</topic><topic>Leg - blood supply</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Multiple Organ Failure - etiology</topic><topic>Recurrence</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the heart</topic><topic>Thrombosis</topic><topic>Venous Thrombosis - etiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Awad, Wael I.</creatorcontrib><creatorcontrib>Coumbe, Adam</creatorcontrib><creatorcontrib>Walesby, Robin K.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of cardio-thoracic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Awad, Wael I.</au><au>Coumbe, Adam</au><au>Walesby, Robin K.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Venous gangrene of the lower limbs following aortic valve replacement for native valve endocarditis</atitle><jtitle>European journal of cardio-thoracic surgery</jtitle><stitle>Eur J Cardiothorac Surg</stitle><addtitle>Eur J Cardiothorac Surg</addtitle><date>1998-10-01</date><risdate>1998</risdate><volume>14</volume><issue>4</issue><spage>440</spage><epage>442</epage><pages>440-442</pages><issn>1010-7940</issn><eissn>1873-734X</eissn><coden>EJCSE7</coden><abstract>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.</abstract><cop>Amsterdam</cop><pub>Elsevier Science B.V</pub><pmid>9845154</pmid><doi>10.1016/S1010-7940(98)00216-4</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record> |
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issn | 1010-7940 1873-734X |
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source | Oxford Journals Online |
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 |
title | Venous gangrene of the lower limbs following aortic valve replacement for native valve endocarditis |
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