Unexpected Death after Isolation of the Innominate Vein

Michael Demosthenous, Andreas Katsaros, Konstantinos Triantafyllou and Nikolaos Koumallos

Department of Cardiac Surgery, Hippocration General Hospital, Greece

^*Correspondance to: Nikolaos Koumallos 

 PDF  Full Text DOI: 10.25107/2474-1647.2581

Abstract

Venous gangrene id defined as gangrene of the limp with a patent arterial tree but with occlusion of the venous network. This report refers to a 65 year old female with history of renal failure under dialysis and an arteriovenous fistula on the left arm. During salvage operation after puncture and severe laceration of both the left internal jugular and innominate vein the above mentioned veins were ligated. This lead to lethal venous gangrene of the left arm due to the obstructed outflow track of the massive blood flow from the fistula. In many cases, the innominate vein is ligated during cardiac operations. The case of this patient teaches us to be extremely cautious if a fistula is present.

Keywords

Venous gangrene, Arteriovenous fistula, Innominate vein

Cite the article

Demosthenous M, Katsaros A, Triantafyllou K, Koumallos N. Unexpected Death after Isolation of the Innominate Vein. Clin Surg. 2019; 4: 2581..