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Anastomotic failure due to acute vasculitis in free flap transfer: a case report
J R Sanger1, B B Kadz, Thu Minh Tieu
1Department of Plastic and Reconstructive Surgery, Medical College of Wisconsin, Milwaukee.
Microsurgery
|January 1, 1992
Abstract:
We report a case of anastomotic failure secondary to acute vasculitis in a free flap. Following transfer of a latissimus dorsi myocutaneous flap, massive hemorrhage from the anastomosis occurred six days postoperatively. This was associated with segmental infarctions of the areas of the flap, which was removed. Transmural necrosis of the thoracodorsal artery, secondary to acute vasculitis was demonstrated by histology. Subsequent biopsies revealed an autoimmune vasculitis.