Free functional muscle transfer failure and thrombophilic gene mutations as a potential risk factor: a case report

dc.contributor.authorVekris, M. D.en
dc.contributor.authorOvrenovits, M.en
dc.contributor.authorDova, L.en
dc.contributor.authorBeris, A. E.en
dc.contributor.authorSoucacos, P. N.en
dc.contributor.authorKolaitis, N.en
dc.contributor.authorVartholomatos, G.en
dc.date.accessioned2015-11-24T19:15:22Z
dc.date.available2015-11-24T19:15:22Z
dc.identifier.issn0738-1085-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/21503
dc.rightsDefault Licence-
dc.subjectAdolescenten
dc.subjectBrachial Plexus/*injuriesen
dc.subjectFactor V/geneticsen
dc.subjectForearm Injuries/surgeryen
dc.subjectGenetic Markers/geneticsen
dc.subjectGraft Survivalen
dc.subjectHumansen
dc.subjectMaleen
dc.subjectMethylenetetrahydrofolate Reductase (NADPH2)/geneticsen
dc.subjectMuscle, Skeletal/*transplantationen
dc.subjectMutation/*geneticsen
dc.subjectPostoperative Complicationsen
dc.subjectSurgical Flaps/*blood supplyen
dc.subjectThromboembolism/geneticsen
dc.subjectThrombophilia/complications/*geneticsen
dc.titleFree functional muscle transfer failure and thrombophilic gene mutations as a potential risk factor: a case reporten
heal.abstractThe evolution of microsurgery popularized the free functioning muscle transfers as secondary procedures to reanimate paralyzed extremities after severance of the brachial plexus, especially when the surgeon deals with late cases. Studies considering transplantation, describe thrombophilic factors as a cause of severe complications after transplantation, such as acute or early rejection episodes, delayed graft function, or chronic graft dysfunction. It is the first time that thrombophilia associated with free muscle-graft rejection is reported. A young man who had two free functional muscle transfers for brachial plexus reconstruction in the same forearm within an interval of 6 months. The free functional muscle transfer was failed in both cases because of vein thrombosis and subsequent arterial clot. The possibility of thrombophilia was investigated and during the genetic investigation it was discovered that he was heterozygous for the mutations of factor V, G1691A-Leiden, A4070G and homozygous for the MTHFR C677T mutation.en
heal.accesscampus-
heal.fullTextAvailabilityTRUE-
heal.identifier.primary10.1002/micr.20312-
heal.identifier.secondaryhttp://www.ncbi.nlm.nih.gov/pubmed/17295258-
heal.identifier.secondaryhttp://onlinelibrary.wiley.com/store/10.1002/micr.20312/asset/20312_ftp.pdf?v=1&t=h0mcz3yg&s=664273cdaba54c47c4d7a1a0a57acf9a9e3c5acf-
heal.journalNameMicrosurgeryen
heal.journalTypepeer-reviewed-
heal.languageen-
heal.publicationDate2007-
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικήςel
heal.typejournalArticle-
heal.type.elΆρθρο Περιοδικούel
heal.type.enJournal articleen

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