title: Upper extremity gangrene: a complication of subclavian artery division.
abstract: 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.
mesh_terms: D001017:Aortic Coarctation / Q000601:surgery; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D002675:Child, Preschool; D005734:Gangrene; D006225:Hand / Q000098:blood supply* / Q000473:pathology; D006801:Humans; D007511:Ischemia / Q000150:complications* / Q000209:etiology; D008026:Ligation / Q000009:adverse effects; D008297:Male; D013348:Subclavian Artery / Q000601:surgery* / Q000637:transplantation; D013771:Tetralogy of Fallot / Q000601:surgery