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A massive arterial thrombosis of a free anterolateral thigh flap in a patient with antiphospholipid syndrome

✍ Scribed by M. Salgarello; D. Cervelli; L. Barone-Adesi

Publisher
John Wiley and Sons
Year
2008
Tongue
English
Weight
148 KB
Volume
28
Category
Article
ISSN
0738-1085

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✦ Synopsis

Abstract

The antiphospholipid syndrome is a pathological condition characterized by recurrent thrombotic manifestations in venous and/or arterial vascular systems and by peculiar laboratory findings as anticardiolipin antibodies and/or positive lupus anticoagulant. We present a case of massive pedicle thrombosis of a free anterolateral thigh perforator flap used for tongue reconstruction following hemiglossectomy in a patient with antiphospholipid syndrome, which compelled us to an immediate second reconstruction choice with a radial forearm free flap. This case is an example of how this syndrome, especially if unknown before surgery, can influence the outcome of microsurgical transfer of flaps. Β© 2008 Wiley‐Liss, Inc. Microsurgery, 2008.

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