Arch Reconstr Microsurg.
2015 May;24(1):20-23. 10.15596/ARMS.2015.24.1.20.
Vascular Remodeling with a Microvascular Anastomotic Coupler System: A Case Report
- Affiliations
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- 1College of Physical Education, Keimyung University, Daegu, Korea.
- 2Department of Plastic and Reconstructive Surgery, Daegu Fatima Hospital, Daegu, Korea.
- 3Department of Plastic and Reconstructive Surgery, Keimyung University School of Medicine, Daegu, Korea. handson@dsmc.or.kr
- KMID: 1794095
- DOI: http://doi.org/10.15596/ARMS.2015.24.1.20
Abstract
- Despite increased utilization of microvascular anastomotic coupler (MAC) devices, the consequences have yet to be fully explored in terms of vascular regeneration. Removal of an exposed venous coupler is described herein, documenting normal circulatory flow through the remodeled site of application. A 25-year-old man who underwent open reduction and rigid fixation elsewhere for traumatic calcaneal fracture ultimately presented with a necrotic postoperative wound. The debrided defect was treated by free thigh perforator flap, incorporating a MAC device. Three months later, the flap remained viable, but the MAC itself was exposed. Structural integrity of the vessel and blood flow were sustained as the device was carefully removed, confirming true vascular remodeling in this example of MAC usage.
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