Symmetrical peripheral gangrene associated with cardiac surgery

Symmetrical and Peripheral Gangrene Complicating a Third-Degree Atrioventricular Block: A New Presentation of a Known Disease

“…This condition may result from acute bacteremia or vasopressor drug use, which results in the occlusion of microcirculation of the affected part. Many cardiac conditions were associated with SPG such as myocardial infarction [ 7 - 10 ], ventricular pseudoaneurysm [ 11 ], pulmonary embolism [ 12 ], paroxysmal ventricular tachycardia [ 13 ], post-cardiac surgery [ 14 - 15 ], severe heart failure [ 3 ], and postpartum cardiomyopathy (Table 1 ) [ 16 ]. It may be also encountered in some chronic conditions such as essential thrombocythemia, polycythemia rubra vera, Raynaud's syndrome, diabetes, small vessel obstruction, and disseminated intravascular coagulation (DIC) [ 7 ].…”

“…Doppler ultrasonography of the extremities may reveal normal peripheral pulses. CT-angiography of the aorta and its branches may show no stenosis images [14]. Occlusion of the small vessels can be found on a skin biopsy.…”

Symmetrical Peripheral Gangrene Associated with Low Output Cardiac Failure

“…However, DIC may occur late, and repeated screening should be done. Doppler ultrasound of the extremities shows intact peripheral pulses [3,9]. Cohen et al noted that sections taken from the left dorsalis pedis artery were non-occluded in patients with SPG [9].…”

“…Various infective and noninfective factors are responsible for the development of SPG [3]. Among them, cardiac conditions myocardial infarction [6,7,8], myocardial infarction with coronary artery bypass graft and, such as ventricular septal defect repair [9], paroxysmal ventricular tachycardia [10], ventricular pseudoaneurysm [11], and severe heart failure [12] have been associated with SPG. We present a case of SPG in the setting of severely depressed cardiac ejection fraction.…”

A case of symmetrical peripheral gangrene associated with transvenous lead extraction

“…Additionally, SPG has been associated with a wide variety of disorders, including falciparum malaria, viral gastroenteritis, shock, trauma, surgery, myocardial infarction, congestive heart failure, paroxysmal ventricular tachycardia, vasopressor use, peripartum cardiomyopathy, paraneoplastic syndromes, malignancies, ergotism, dog bite, and so forth. 5 , 6 , 7 , 8 , 9 Our literature search yielded 141 results when using the terms “symmetrical peripheral gangrene” and “symmetric peripheral gangrene.” To our knowledge, this is the first reported case of SPG complicating transvenous lead extraction.…”