Surgery for the Venous Disaster - Phlegmasia Cerulea Dolens


  • Chien-Hui Lee Division of Cardiovascular Surgery, Department of Surgery, Changhua Christian Hospital, Changhua, Taiwan
  • Yung-Kun Hsieh Division of Cardiovascular Surgery, Department of Surgery, Changhua Christian Hospital, Changhua, Taiwan



Phlegmasia cerulea dolens is an acute fulminating form of extensive venous thrombosis. Limb loss, post-thrombotic syndrome and life-threatening conditions can occur without appropriate management.

Treatment methods vary; there presently is no consensus on the best form of treatment. Endovascular procedures have been a good option for treating deep vein thrombosis, yet they may be insufficient for patients suffering from phlegmasia cerulea dolens. Venous thrombectomy with the guidance of venography quickly relieves symptoms, hardly causes complications, yields optimal mid-term results, and can be a justifiable treatment for phlegmasia cerulea dolens.


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How to Cite

Lee, C.-H., & Hsieh, Y.-K. (2019). Surgery for the Venous Disaster - Phlegmasia Cerulea Dolens. The Heart Surgery Forum, 22(4), E289-E293.