title: Intra-operative internal jugular vein thrombosis complicating microvascular free flap transfer.
abstract: Internal jugular vein thrombosis is rare. It is often secondary to prolonged central venous cannulation and associated with local or distant malignancy. The authors present a case of intra-operative thrombosis of the internal jugular vein which complicated subsequent microvascular anastomosis of a radial forearm free flap. The management of the intra-operatively thrombosed internal jugular vein and alternative anastamotic options for the free flap are discussed.
authors: Shrewsbury and Telford Hospitals NHS Trust, Shrewsbury Royal Hospital, UK.
authors: B
authors: B
authors: Castling
authors: C
authors: C
authors: Fowell
authors: S
authors: S
authors: Bhatia
mesh_terms: D000368:Aged; D000714:Anastomosis, Surgical; D016121:Brachiocephalic Veins / Q000601:surgery; D002294:Carcinoma, Squamous Cell / Q000601:surgery; D058752:Free Tissue Flaps / Q000098:blood supply*; D006801:Humans; D007431:Intraoperative Complications; D007601:Jugular Veins / Q000473:pathology / Q000601:surgery*; D008297:Male; D008866:Microsurgery; D009060:Mouth Floor / Q000098:blood supply* / Q000601:surgery; D009062:Mouth Neoplasms / Q000601:surgery*; D011884:Radius / Q000637:transplantation; D020246:Venous Thrombosis / Q000209:etiology* / Q000601:surgery