title: The adult respiratory distress syndrome after dextran infusion as an antithrombotic agent in free TRAM flap breast reconstruction.
abstract: Adult respiratory distress syndrome occurred in a patient who had received dextran as a routine antithrombotic agent during and after free TRAM breast reconstruction. Although most patients who receive dextran have no adverse reaction, particularly after hapten inhibition by dextran 1 infusion, the serious nature of this complication in an elective operation calls into question the continuing routine use of dextran in microsurgery.
mesh_terms: D000925:Anticoagulants / Q000009:adverse effects*; D003911:Dextrans / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007262:Infusions, Intravenous; D016462:Mammaplasty; D008875:Middle Aged; D011183:Postoperative Complications / Q000139:chemically induced*; D012128:Respiratory Distress Syndrome / Q000139:chemically induced*; D013524:Surgical Flaps