Salvage of a free flap after late total thrombosis of the flap and revascularisation

Diego Ribuffo Department of Plastic Surgery, “La Sapienza” University, Rome, ItalyCorrespondencediegoribuffo@libero.it

Stefano Chiummariello Department of Plastic Surgery, “La Sapienza” University, Rome, ItalyCorrespondencediegoribuffo@libero.it

Emanuele Cigna Department of Plastic Surgery, “La Sapienza” University, Rome, Italy

Nicolò Scuderi Department of Plastic Surgery, “La Sapienza” University, Rome, Italy

Abstract

We report a case of successful salvage of a free flap after a late total venous thrombosis. A free forearm flap was used to cover an exposed plate over the ankle. After a normal postoperative course, the patient suddenly developed a total venous thrombosis on day 11. Nevertheless the flap was salvaged completely. This event raises further questions about the revascularisation process, which is commonly thought to occur in 7–8 days.

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Salvage of a free flap after late total thrombosis of the flap and revascularisation

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Salvage of a free flap after late total thrombosis of the flap and revascularisation

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