Fibromuscular proliferation in finger arteries after hand replantation: A case report

✍ Scribed by Claudia Meuli-Simmen; Thomas Eiman; Bernard S. Alpert; Viktor E. Meyer; Gregory M. Buncke; Harry J. Buncke

• Book ID: 102657021
• Publisher: John Wiley and Sons
• Year: 1996
• Tongue: English
• Weight: 712 KB
• Volume: 17
• Category: Article
• ISSN: 0738-1085
• DOI: 10.1002/(sici)1098-2752(1996)17:10<551::aid-micr4>3.0.co;2-t

✦ Synopsis

We report on a case where a digit of a previously replanted hand was amputated 3 years after injury. Histologically, the finger arteries demonstrated a marked intimal thickening due to fibromuscular proliferation, with narrowing of the lumen. The media showed muscular hyperplasia and fibrosis, whereas the adventitia was normal. These changes are prob-ably a consequence of ischemia and reperfusion injury and might explain the persistent vasomotor insufficiency found in replantation patients.