Combined saphenous vein with free flap reconstruction in the treatment of carotid stenosis.
Revascularization for arterial stenosis in varied anatomic sites exposed to therapeutic radiation has been well described. In most circumstances, symptomatic end organ ischemia has been the indication for surgical intervention. We report the case of a patient who had symptomatic carotid stenosis 40 years after having ipsilateral neck dissection with radiation therapy. We did a saphenous vein graft interposition and free flap reconstruction of the overlying damaged skin.
Pappas
M J
MJ
Louisiana State University Medical Center, Department of Surgery, New Orleans 70112-2822, USA.
Allen
R
R
Batson
R C
RC
D000273:Adipose Tissue / Q000637:transplantation; D016893:Carotid Stenosis / Q000209:etiology / Q000601:surgery*; D005260:Female; D006801:Humans; D008875:Middle Aged; D037981:Neck Dissection / Q000009:adverse effects; D010307:Parotid Neoplasms / Q000532:radiotherapy / Q000601:surgery; D011832:Radiation Injuries / Q000209:etiology / Q000601:surgery*; D011855:Radiodermatitis / Q000209:etiology / Q000601:surgery*; D011878:Radiotherapy / Q000009:adverse effects; D012501:Saphenous Vein / Q000637:transplantation*; D016038:Skin Transplantation / Q000379:methods; D013524:Surgical Flaps