Phlegmasia cerulea dolens after coronary artery bypass surgery: what should we know

Area of Science:

• Vascular Surgery
• Cardiovascular Surgery
• Thrombosis Research

Background:

• Phlegmasia cerulea dolens (PCD) is a severe form of deep vein thrombosis.
• PCD can lead to compartment syndrome and limb ischemia.
• PCD following coronary artery bypass surgery (CABG) is exceptionally rare.

Observation:

• A rare case of PCD with compartment syndrome occurred post-coronary artery bypass surgery.
• The patient developed severe venous thrombosis and limb compromise.
• The exact pathophysiology of PCD after CABG remains under investigation.

Findings:

• The study presents a unique case of PCD post-CABG.
• Compartment syndrome developed as a complication of PCD.
• Early intervention is critical for managing PCD.

Implications:

• This case highlights the potential for rare thrombotic complications after CABG.
• Emphasizes the need for vigilance in diagnosing PCD in post-cardiac surgery patients.
• Timely surgical decompression is essential to prevent limb loss and disability.