Skip to main content
British Heart Journal logoLink to British Heart Journal
. 1977 May;39(5):569–572. doi: 10.1136/hrt.39.5.569

Symmetrical peripheral gangrene.

R C McGouran, G A Emmerson
PMCID: PMC483277  PMID: 861101

Abstract

Two cases of symmetrical peripheral gangrene associated with intracardiac lesions are described. One had a secondary deposit from a uterine leiomyosarcoma in the wall of the right ventricle, the other had a free ball thrombus in the right atrium; there were no valvular lesions in either case. The published reports of this type of gangrene indicate that it may result from (1) va sospastic conditions, (2) small vessel obstruction, or (3) conditions producing a very low cardiac output. The two patients reported are unusual examples of the last.

Full text

PDF
571

Images in this article

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Abrahams D. G. INCIPIENT SYMMETRICAL PERIPHERAL GANGRENE COMPLICATING PAROXYSMAL TACHYCARDIA. Br Heart J. 1948 Jul;10(3):191–194. doi: 10.1136/hrt.10.3.191. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. COHEN H. Peripheral gangrene in a case of myocardial infarction. Br Med J. 1961 Dec 16;2(5267):1615–1616. doi: 10.1136/bmj.2.5267.1615. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. COTTON R. T., BEDFORD D. R. Symmetric peripheral gangrene complicating acute myocardial infarction. Am J Med. 1956 Feb;20(2):301–307. doi: 10.1016/0002-9343(56)90199-1. [DOI] [PubMed] [Google Scholar]
  4. CRANLEY J. J., KRAUSE R. J., STRASSER E. S., HAFNER C. D. IMPENDING GANGRENE OF FOUR EXTREMITIES SECONDARY TO ERGOTISM. N Engl J Med. 1963 Oct 3;269:727–729. doi: 10.1056/NEJM196310032691404. [DOI] [PubMed] [Google Scholar]
  5. Chaudhuri A. K., McKenzie P. Peripheral gangrene after measles. Br Med J. 1970 Dec 12;4(5736):679–680. doi: 10.1136/bmj.4.5736.679-b. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. DUNNING M. W. GANGRENE FROM EXPOSURE TO COLD. Br J Surg. 1964 Dec;51:883–887. doi: 10.1002/bjs.1800511204. [DOI] [PubMed] [Google Scholar]
  7. Goodwin J. N. Symmetrical peripheral gangrene. Arch Surg. 1974 Jun;108(6):780–784. doi: 10.1001/archsurg.1974.01350300022006. [DOI] [PubMed] [Google Scholar]
  8. Gyde O. H., Beales D. L. Gangrene of digits after chicken-pox. Br Med J. 1970 Oct 31;4(5730):284–284. doi: 10.1136/bmj.4.5730.284. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. HEJTMANCIK M. R., BRUCE E. I. Symmetrical peripheral gangrene complicating pulmonary embolism. Am Heart J. 1953 Feb;45(2):289–294. doi: 10.1016/0002-8703(53)90189-6. [DOI] [PubMed] [Google Scholar]
  10. Lloyd A., Kemball M., Fraser G. Peripheral gangrene in infancy and childhood. Br Med J. 1967 Feb 25;1(5538):468–470. doi: 10.1136/bmj.1.5538.468. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Preston F. E., Emmanuel I. G., Winfield D. A., Malia R. G. Essential thrombocythaemia and peripheral gangrene. Br Med J. 1974 Aug 31;3(5930):548–552. doi: 10.1136/bmj.3.5930.548. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. RODDIE I. C., SHEPHERD J. T. Evidence for critical closure of digital resistance vessels with reduced transmural pressure and passive dilatation with increased venous pressure. J Physiol. 1957 May 23;136(3):498–506. doi: 10.1113/jphysiol.1957.sp005776. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. ROSS J. V., Jr, BAGGENSTOSS A. H., JUERGENS J. L. Gangrene of lower extremity secondary to extensive venous occlusion. Circulation. 1961 Sep;24:549–556. doi: 10.1161/01.cir.24.3.549. [DOI] [PubMed] [Google Scholar]
  14. SWAN W. G. A., HENDERSON C. B. Peripheral gangrene in myocardial infarction. Br Heart J. 1951 Jan;13(1):68–73. doi: 10.1136/hrt.13.1.68. [DOI] [PMC free article] [PubMed] [Google Scholar]

Articles from British Heart Journal are provided here courtesy of BMJ Publishing Group

RESOURCES