|
KMID : 0358820090360050667
|
|
Journal of Korean Society of Plastic and Reconstructive Surgeons
2009 Volume.36 No. 5 p.667 ~ p.669
|
|
|
Recurrent Thrombosis after Arterial Repair at the Wrist
|
|
Cho Yong-Hyun
Roh Si-Gyun
Lee Nae-Ho
Yang Kyung-Moo
|
|
|
Abstract
|
|
|
Purpose: Radial and ulnar arteries are two major arteries responsible for the blood supply of the hand. We experienced early recurrent thrombosis of ulnar artery after arteriorrhaphy in a patient with rupture of ulnar and radial arteries due to glass injury. Thus, we thought this would require reviews.
Methods: 41-year-old female patient was presented for the laceration of right wrist due to glass injury. Operative findings revealed the rupture of radial artery, ulnar artery, ulnar nerve and most of the flexor tendons. We performed three consecutive operations because of the recurrent arterial thrombosis in ulnar artery. Arteriorrhaphy was performed in each operation and the interpositional vein graft was performed in the final operation.
Results: Consequently, doppler ultrasonography was performed on twentieth postoperative day and fair flow in the ulnar artery was visualized. Pathologic examination of the artery revealed no histopathologic abnormalities. Received January 9, 2009 Revised April 22, 2009 Accepted July 21, 2009 Address Correspondence: Nae Ho Lee, M.D., Department of Plastic and Reconstructive Surgery, Chonbuk National University Hospital, 634-18 Geumam-dong, Deokjin-gu, Jeonju 561-712, Korea. Tel: 063)250-1860/Fax: 063)250-1866/ E-mail: leenaeho@chonbuk.ac.kr * 이 논문은 2008년 제27차 대한미세수술학회 학술대회에서 포스터 발표되었음.
Conclusion: It is not a matter of ease to follow up the patients with rupture of radial or ulnar arteries. Obstruction of the repaired artery is also not easy to detect because it usually presents no definite symptoms. We could detect the obstruction of the artery following arteriorrhaphy with the doppler ultrasonography in less than a week postoperatively, and repeated operations were followed. We reviewed the causes and factors affecting the thrombosis and hereby report with literature review.
|
|
|
KEYWORD
|
|
|
Arterial thrombosis, Wrist
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
  
|
|