Journal of Japanese Society of Reconstructive Microsurgery
Online ISSN : 2185-9949
Print ISSN : 0916-4936
ISSN-L : 2185-9949
Case Report
An Arterial Thrombosis Salvation Method -Using a Comitant Vein Graft-
Keisuke NAGAMINEMasami SAITOSigeki KITAMURAAkihiko OYAMANaohiro KIMURA
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2020 Volume 33 Issue 3 Pages 172-177

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Abstract

If arterial thrombosis develops after a free flap operation, we need to remove the thrombosis and surgically re-anastomose the arteries. For this, the entire arterial thrombosis area is surgically removed and we may have to use a vein graft. The vein used for grafting must be selected according to factors such as the difference in diameter from the artery, time required for collection, state, and sacrifice of the donor site. We hypothesized that these problems can be solved using a comitant vein of the flap that was transplanted. We were able to achieve good results using this method in two cases of arterial thrombosis after transplantation of a free rectus abdominis myocutaneous flap during head and neck reconstruction. We consider this method useful for feeding arteries shortened by arterial thrombosis in cases with two comitant veins.

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© 2020 Japanese Society of Reconstructive Microsurgery
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