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J Reconstr Microsurg 2012; 28(05): 305-312
DOI: 10.1055/s-0032-1311687
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Microsurgery in the Hypercoagulable Patient: Review of the Literature

Fernando Antonio Herrera
1   The Buncke Clinic and Division of Microsurgery, California Pacific Medical Center, San Francisco, California
3   Division of Plastic and Reconstructive Surgery, University of California, Los Angeles, California
,
Charles K. Lee
1   The Buncke Clinic and Division of Microsurgery, California Pacific Medical Center, San Francisco, California
2   Division of Plastic and Reconstructive Surgery, University of California, San Francisco, California
,
Gil Kryger
4   Kryger Institute of Plastic Surgery, Thousand Oaks, California
,
Jason Roostaeian
3   Division of Plastic and Reconstructive Surgery, University of California, Los Angeles, California
,
Bauback Safa
1   The Buncke Clinic and Division of Microsurgery, California Pacific Medical Center, San Francisco, California
,
Robert F. Lohman
5   Division of Plastic and Reconstructive Surgery, The University of Chicago, Chicago, Illinois
,
Lawrence J. Gottlieb
5   Division of Plastic and Reconstructive Surgery, The University of Chicago, Chicago, Illinois
,
Robert L. Walton
5   Division of Plastic and Reconstructive Surgery, The University of Chicago, Chicago, Illinois
› Author Affiliations
Further Information

Publication History

29 August 2011

22 December 2011

Publication Date:
30 April 2012 (online)

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Abstract

Improved techniques in microvascular surgery over the last several decades have led to the increased use of free tissue transfers as a mode of reconstructing difficult problems with a high success rate. However, undiagnosed thrombophilias have been associated with microsurgery free flap failures. We present a case of successful free tissue transfer in a patient with lupus anticoagulant and review the literature.

Keywords

thrombophilia - free flap salvage - blood vessel thrombosis - hypercoagulable states - free flap failure - free tissue transfer
 

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