Microvascular free tissue transfer in the setting of COVID-19 associated coagulopathy: A case report

In the era of this pandemic, the use of free flaps for elective reconstruction should proceed with caution in the COVID-19 positive patient given the associated coagulopathy. In those who require free tissue transfer in an urgent or non-elective manner, it is advisable to consider systemic anticoagu...

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Autores principales: Nassar, Amer H., Maselli, Amy M., Dowlatshahi, A. Samandar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Authors. Published by Elsevier Ltd on behalf of IJS Publishing Group Limited. 2021
Materias:
Surgical Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7900757/
http://dx.doi.org/10.1016/j.orthop.2021.02.002
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author Nassar, Amer H.
Maselli, Amy M.
Dowlatshahi, A. Samandar
author_facet Nassar, Amer H.
Maselli, Amy M.
Dowlatshahi, A. Samandar
author_sort Nassar, Amer H.
collection PubMed
description In the era of this pandemic, the use of free flaps for elective reconstruction should proceed with caution in the COVID-19 positive patient given the associated coagulopathy. In those who require free tissue transfer in an urgent or non-elective manner, it is advisable to consider systemic anticoagulation with an associated hematologic consultation given the theoretic higher risk of flap vascular complication. We present a case report of a young healthy and otherwise asymptomatic COVID-19 positive patient whose associated coagulopathy resulted in free flap loss and need for further operations.
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spelling pubmed-79007572021-02-23 Microvascular free tissue transfer in the setting of COVID-19 associated coagulopathy: A case report Nassar, Amer H. Maselli, Amy M. Dowlatshahi, A. Samandar Orthoplastic Surgery Surgical Case Report In the era of this pandemic, the use of free flaps for elective reconstruction should proceed with caution in the COVID-19 positive patient given the associated coagulopathy. In those who require free tissue transfer in an urgent or non-elective manner, it is advisable to consider systemic anticoagulation with an associated hematologic consultation given the theoretic higher risk of flap vascular complication. We present a case report of a young healthy and otherwise asymptomatic COVID-19 positive patient whose associated coagulopathy resulted in free flap loss and need for further operations. The Authors. Published by Elsevier Ltd on behalf of IJS Publishing Group Limited. 2021-06 2021-02-23 /pmc/articles/PMC7900757/ http://dx.doi.org/10.1016/j.orthop.2021.02.002 Text en © 2021 The Authors Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Surgical Case Report
Nassar, Amer H.
Maselli, Amy M.
Dowlatshahi, A. Samandar
Microvascular free tissue transfer in the setting of COVID-19 associated coagulopathy: A case report
title Microvascular free tissue transfer in the setting of COVID-19 associated coagulopathy: A case report
title_full Microvascular free tissue transfer in the setting of COVID-19 associated coagulopathy: A case report
title_fullStr Microvascular free tissue transfer in the setting of COVID-19 associated coagulopathy: A case report
title_full_unstemmed Microvascular free tissue transfer in the setting of COVID-19 associated coagulopathy: A case report
title_short Microvascular free tissue transfer in the setting of COVID-19 associated coagulopathy: A case report
title_sort microvascular free tissue transfer in the setting of covid-19 associated coagulopathy: a case report
topic Surgical Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7900757/
http://dx.doi.org/10.1016/j.orthop.2021.02.002
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AT dowlatshahiasamandar microvascularfreetissuetransferinthesettingofcovid19associatedcoagulopathyacasereport

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