Free anterolateral thigh perforator flap in a patient with systemic sclerosis and Raynaud's phenomenon Academic Article uri icon

Overview

MeSH Major

  • Bone Neoplasms
  • Carcinoma, Squamous Cell
  • Meningeal Neoplasms
  • Reconstructive Surgical Procedures
  • Skin Neoplasms
  • Surgical Flaps

abstract

  • In this report, we present the first successful case of a perforator flap microvascular tissue transfer in a patient with severe scleroderma and Raynaud's phenomenon. Microvascular transfer in the setting of Raynaud's phenomenon has been reported in four patients in the medical literature. In one case (radial forearm flap), the flap was lost on postoperative day 3 due to severe, unremitting vasospasm. Together, these findings provide putative evidence that microvascular tissue transfer of myocutaneous flaps and even perforator flaps is feasible in patients with severe scleroderma. It is likely, however, that flap complication rates may be higher. Every effort should be made to keep the patient warm and avoid vasospasm. Calcium channel blockers may be helpful, but their use should probably be avoided if hypotension is encountered. Similarly, anticoagulation may be helpful, although its use in this case was precluded by intracranial surgery. Copyright ©2006 by the American Society of Plastic Surgeons.

publication date

  • September 2006

Research

keywords

  • Academic Article

Identity

Language

  • eng

Digital Object Identifier (DOI)

  • 10.1097/01.prs.0000232388.59236.3a

PubMed ID

  • 16980839

Additional Document Info

start page

  • 90e

end page

  • 92e

volume

  • 118

number

  • 4