title: Microsurgery in the hypercoagulable patient: review of the literature.
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.
authors.affiliation: The Buncke Clinic and Division of Microsurgery, California Pacific Medical Center, San Francisco, CA 94117, USA.
authors.forename: Fernando Antonio
authors.initials: FA
authors.lastname: Herrera
authors.forename: Charles K
authors.initials: CK
authors.lastname: Lee
authors.forename: Gil
authors.initials: G
authors.lastname: Kryger
authors.forename: Jason
authors.initials: J
authors.lastname: Roostaeian
authors.forename: Bauback
authors.initials: B
authors.lastname: Safa
authors.forename: Robert F
authors.initials: RF
authors.lastname: Lohman
authors.forename: Lawrence J
authors.initials: LJ
authors.lastname: Gottlieb
authors.forename: Robert L
authors.initials: RL
authors.lastname: Walton
mesh_terms: D000063:Accidents, Traffic; D000328:Adult; D000465:Algorithms; D000925:Anticoagulants / Q000627:therapeutic use; D003911:Dextrans / Q000627:therapeutic use; D058752:Free Tissue Flaps; D006801:Humans; D035002:Lower Extremity / Q000293:injuries / Q000601:surgery*; D016682:Lupus Coagulation Inhibitor / Q000097:blood*; D008297:Male; D008866:Microsurgery; D009049:Motorcycles; D018482:Muscle, Skeletal / Q000637:transplantation; D020246:Venous Thrombosis / Q000209:etiology / Q000517:prevention & control*; D014859:Warfarin / Q000627:therapeutic use
chemical_list: D000925:Anticoagulants; D003911:Dextrans; D016682:Lupus Coagulation Inhibitor; D014859:Warfarin