Salvage of a ''free flap'' phalloplasty by distal arteriovenous fistula: Case report

被引:17
|
作者
Hage, JJ
Winters, HAH
机构
[1] Dept. of Plast. and Reconstr. Surg., Academic Hospital, Free University, Amsterdam
[2] Dept of Plast. and Reconstr. Surgery, Academic Hospital, Free University, NL-1007 MB Amsterdam
关键词
D O I
10.1055/s-2007-1006486
中图分类号
R61 [外科手术学];
学科分类号
摘要
Radial forearm-flap sensate free-flap phalloplasty was performed in a 32-year-old female-to-male transsexual. An arteriovenous loop was created by end-to-side anastomosis of the left greater saphenous vein to the femoral artery at the level of the femoral triangle. On the first postoperative day, the neophallus showed signs of impaired circulation, and a recent thrombus was removed from the venous pedicle. A distal fistula between the radial artery and a superficial vein was created, converting this possibly low-flow flap to a high-flow system. The flap could be salvaged entirely. Taking the well-recognized, long-term complications of arteriovenous fistulas into account, the authors do not recommend routine use of such a distal fistula. Still, in cases where Vascular patency of the venous graft is shown not to be adequate, an adjunctive arteriovenous fistula created distally may salvage the flap.
引用
收藏
页码:279 / 282
页数:4
相关论文
共 50 条
  • [31] CORONARY ARTERIOVENOUS FISTULA - CASE REPORT
    PAUL, O
    SWEET, RH
    WHITE, PD
    AMERICAN HEART JOURNAL, 1949, 37 (03) : 441 - 445
  • [32] A Case Report of Iatrogenic Arteriovenous Fistula
    Millsap, Jessica L.
    Weber, Therese M.
    ULTRASOUND QUARTERLY, 2014, 30 (03) : 199 - 201
  • [33] Presacral arteriovenous fistula:: Case report
    Kähärä, V
    Lehto, U
    Sajanti, J
    NEUROSURGERY, 2003, 53 (03) : 774 - 776
  • [34] ARTERIOVENOUS FISTULA OF THE LUNG - WITH REPORT OF A CASE
    CARSWELL, J
    JOURNAL OF THORACIC SURGERY, 1950, 19 (05): : 789 - 793
  • [36] Cross-leg free flap for emergency extremity salvage: Case report
    Topalan, M
    Ermis, I
    JOURNAL OF RECONSTRUCTIVE MICROSURGERY, 2001, 17 (03) : 157 - 161
  • [37] Modified procedure for cephalic vein transposition for free flap salvage: Report of case
    Vuillemin, T
    Imola, MJ
    JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 1997, 55 (10) : 1171 - 1174
  • [38] DISTAL ARTERIOVENOUS-FISTULA AS AN ADJUNCT TO MAINTAINING ARTERIAL AND GRAFT PATENCY FOR LIMB SALVAGE
    DARDIK, H
    SUSSMAN, B
    IBRAHIM, IM
    KAHN, M
    SVOBODA, JJ
    MENDES, D
    DARDIK, I
    SURGERY, 1983, 94 (03) : 478 - 486
  • [39] Successful free flap salvage surgery with off-label use of Alteplase: A case report, review of the literature and our free flap salvage algorithm
    Barhoum, Fatima
    Tschaikowsky, Klaus
    Koch, Michael
    Kapsreiter, Markus
    Sievert, Matti
    Mueller, Sarina
    Goncalves, Miguel
    Traxdorf, Maximilian
    Scherl, Claudia
    INTERNATIONAL JOURNAL OF SURGERY CASE REPORTS, 2020, 75 : 398 - 402
  • [40] Successful Salvage of Venous Thrombosis of a Free Flap by Creation of a Venocutaneous Fistula
    Jones, Neil F.
    Lin, Michael P.
    Dickinson, Brian P.
    Eckardt, Jeffrey
    JOURNAL OF RECONSTRUCTIVE MICROSURGERY, 2011, 27 (04) : 243 - 250