Breast Reconstruction with Free Transverse Rectus Abdominis Myocutaneous Flap Complicated by Deep Vein Thrombosis-associated Pulmonary Thrombo-embolism

Jae-Woo Heo; Ung Sik Jin

doi:10.12790/ahm.2018.23.3.217

Journal List > Arch Hand Microsurg > v.23(3) > 1108244

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Heo and Jin: Breast Reconstruction with Free Transverse Rectus Abdominis Myocutaneous Flap Complicated by Deep Vein Thrombosis-associated Pulmonary Thrombo-embolism

Case Report

Arch Hand Microsurg 2018;23(3):217-222.

Published online: 5 January 2018

DOI: https://doi.org/10.12790/ahm.2018.23.3.217

Breast Reconstruction with Free Transverse Rectus Abdominis Myocutaneous Flap Complicated by Deep Vein Thrombosis-associated Pulmonary Thrombo-embolism

Jae-Woo Heo, Ung Sik Jin

Department of Plastic & Reconstructive Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea

Corresponding author: Ung Sik Jin Department of Plastic & Reconstructive Surgery, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, Seoul 03080, Korea TEL: +82-2-2072-3642, FAX: +82-2-2072-2375, E-mail: usj1011@snu.ac.kr

Received 10 May 20188 June 2018 Accepted 12 June 2018

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

초록

Over the last few decades, autologous tissue has gained an increasing popularity as a mean of immediate breast reconstruction after oncological mastectomy. Especially in the case of delayed reconstruction or radiotherapy done or planned, autologous reconstruction is often preferred over implants. Transverse rectus abdominis myocutaneous flap is, by far, the most universally adopted selection of choice. During the last 5 years, breast reconstruction using a free transverse rectus abdominis myocutaneous flap summed up to a total of 706 cases in our institution. In this paper, we present 2 cases, in which, deep vein thrombosis and pulmonary thromboembolism were complicated postoperatively in patients who un-derwent breast reconstruction with a free transverse rectus abdominis myocutaneous flap.

Keywords: Venous thrombosis, Pulmonary embolism, TRAM

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Fig.1.

Lower extremity Doppler sonography with acute deep vein thrombosis in the left common iliac and femoral vein to crural veins.

Fig.2.

Chest computed tomography angiography with pulmonary artery embolism on right lower lobe.

Fig.3.

Lower extremity Doppler sonography with acute deep vein thrombosis from left common iliac and femoral vein to popliteal vein, and its distal branches.

Fig.4.

Chest computed tomography angiography with pulmonary artery embolism on both lobes.

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