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Ann Thorac Surg 1980;30:487-489
© 1980 The Society of Thoracic Surgeons
From the Divisions of Cardiovascular Surgery and Plastic Surgery, and the Department of Cardiology, Hospital for Sick Children, Toronto, Ont, Canada
Accepted for publication November 6, 1979.
* Address reprint requests to Dr. Williams, Room 1525 Gerrard Wing, Hospital for Sick Children, 555 University Ave, Toronto, Ont, Canada M5G 1X8
Gangrene of the upper extremity is a rare complication following subclavian artery ligation. Two case reports from the 23-year experience at the Hospital for Sick Children are presented. If gangrene is to be eliminated in such cases, early recognition of inadequate limb perfusion is mandatory. A suspicion of inadequate perfusion justifies heparin therapy, and prompt revascularization and fasciotomy must be considered.
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