Arch Hand Microsurg 2018; 23(3): 217-222  
Breast Reconstruction with Free Transverse Rectus Abdominis Myocutaneous Flap Complicated by Deep Vein Thrombosis-associated Pulmonary Thrombo-embolism
Jae-Woo Heo, Ung Sik Jin
Department of Plastic & Reconstructive Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea
Correspondence to: Ung Sik Jin
Department of Plastic & Reconstructive Surgery, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, Seoul 03080, Korea
TEL: +82-2-2072-3642, FAX: +82-2-2072-2375, E-mail: usj1011@snu.ac.kr
Received: May 10, 2018; Revised: June 8, 2018; Accepted: June 12, 2018; Published online: September 1, 2018.
© Korean Society for Surgery of the Hand, Korean Society for Microsurgery, and Korean Society for Surgery of the Peripheral Nerve. All rights reserved.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Over the last few decades, autologous tissue has gained an increasing popularity as a mean of immediate breast reconstruction after oncological mastectomy. Especially in the case of delayed reconstruction or radiotherapy done or planned, autologous reconstruction is often preferred over implants. Transverse rectus abdominis myocutaneous flap is, by far, the most universally adopted selection of choice. During the last 5 years, breast reconstruction using a free transverse rectus abdominis myocutaneous flap summed up to a total of 706 cases in our institution. In this paper, we present 2 cases, in which, deep vein thrombosis and pulmonary thrombo-embolism were complicated post-operatively in patients who underwent breast reconstruction with a free transverse rectus abdominis myocutaneous flap.
Keywords: Venous thrombosis, Pulmonary embolism, TRAM


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