Survival of a microvascular muscle flap despite the late occlusion of the inflow artery in a neuroischaemic diabetic foot.
A microsurgical free rectus abdominis flap was connected to a popliteodistal vascular reconstruction because of a limb-threatening ischaemic ulcer in an 84 year old diabetic patient. After six months the inflow vessel occluded, but the flap stayed viable, apparently receiving its nutrition through newly developed collaterals.
Mätzke
S
S
Division of Vascular Surgery, Helsinki University Central Hospital, Finland.
Tukiainen
E J
EJ
Lepäntalo
M J
MJ
D000368:Aged; D000369:Aged, 80 and over; D000792:Angiography; D001157:Arterial Occlusive Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000503:physiopathology; D003097:Collateral Circulation; D017719:Diabetic Foot / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D006085:Graft Survival / Q000502:physiology; D006801:Humans; D008297:Male; D008866:Microsurgery; D011183:Postoperative Complications / Q000503:physiopathology; D013524:Surgical Flaps; D016909:Tibial Arteries / Q000000981:diagnostic imaging