Survival of a microvascular muscle flap despite the late occlusion of the inflow artery in a neuroischaemic diabetic foot

Scand J Plast Reconstr Surg Hand Surg. 1997 Mar;31(1):71-5. doi: 10.3109/02844319709010508.

Abstract

A microsurgical free rectus abdominis flap was connected to a popliteodistal vascular reconstruction because of a limb-threatening ischaemic ulcer in an 84 year old diabetic patient. After six months the inflow vessel occluded, but the flap stayed viable, apparently receiving its nutrition through newly developed collaterals.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aged, 80 and over
  • Angiography
  • Arterial Occlusive Diseases / diagnostic imaging
  • Arterial Occlusive Diseases / etiology*
  • Arterial Occlusive Diseases / physiopathology
  • Collateral Circulation
  • Diabetic Foot / diagnostic imaging
  • Diabetic Foot / physiopathology
  • Diabetic Foot / surgery*
  • Graft Survival* / physiology
  • Humans
  • Male
  • Microsurgery
  • Postoperative Complications* / physiopathology
  • Surgical Flaps*
  • Tibial Arteries / diagnostic imaging