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Arch Hand Microsurg > Volume 23(3); 2018 > Article
Archives of Hand and Microsurgery 2018;23(3):217-222.
Published online September 1, 2018.
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.
Received: 10 May 2018   • Revised: 8 June 2018   • Accepted: 12 June 2018
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.
Key Words: Venous thrombosis, Pulmonary embolism, TRAM

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