During the surgical treatment of vascular malformations, it is important to reconstruct any skin and soft tissue defects caused by wide resection. In addition, donor-recipient matching is critical during reconstructive surgery, especially in procedures involving the hand. Herein, we describe the case of a 37-year-old female who underwent the resection of a vascular malformation located within the ulnar side of the palm, followed by the coverage of the resultant defect using a superficial palmar branch of the radial artery ( SPBRA ) flap. The superficial palmar artery and cutaneous vein of the forearm were anastomosed to the common digital artery and the dorsal digital vein of the hand, respectively. The SPBRA flap completely survived and exhibited a good cosmetic appearance. Furthermore, the donor site was primarily closed without any morbidities, such as limited wrist motion, occurring.
