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Surgical Thrombectomy for Phlegmasia Cerulea Dolens
Shin-Seok Yang1, Woo-Sung Yun1
1Division of Transplantation and Vascular Surgery, Department of Surgery, Yeungnam University Medical Center, Yeungnam University College of Medicine, Daegu, Korea.
Phlegmasia cerulea dolens (PCD) requires urgent intervention to save limbs. Surgical thrombectomy offers a successful treatment option for PCD, particularly when endovascular methods are unsuitable.
Area of Science:
- Vascular Surgery
- Emergency Medicine
- Thrombotic Disorders
Background:
- Phlegmasia cerulea dolens (PCD) is a severe venous obstruction causing limb ischemia and potential gangrene.
- Prompt diagnosis and intervention are critical for limb salvage in PCD.
- Treatment options include endovascular approaches and surgical intervention.
Observation:
- This report details a successful surgical thrombectomy in a 75-year-old male patient diagnosed with PCD.
- The case highlights the viability of surgical thrombectomy in managing complex PCD cases.
Findings:
- Surgical thrombectomy was effectively performed, leading to successful venous outflow restoration.
- The patient's limb was salvaged following the surgical procedure.
Implications:
- Surgical thrombectomy remains a valuable treatment option for phlegmasia cerulea dolens, especially when endovascular therapies are not feasible.
- This case underscores the importance of considering surgical thrombectomy for limb salvage in severe venous emergencies.
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