Autologous free tissue transfer in paediatric patient with a univentricular heart.
Felix J JacobiSimon F JacobiFabian Alexander KariSteffen U EisenhardtPublished in: Interactive cardiovascular and thoracic surgery (2022)
We report on the case of a 30-month-old boy who developed severe deep cervical necrosis after bypass surgery for total cavopulmonary connection, followed by low-cardiac output and extracorporeal life support. As several bedside debridements failed to result in sufficient wound healing, a 2-stage necrectomy followed by autologous reconstruction with a free anterolateral thigh-flap was required. Due to impaired circulation, postoperative flap monitoring was extremely difficult. To ensure flap perfusion, mean arterial pressure had to be raised by catecholamines over 7 days.
Keyphrases
- breast reconstruction
- soft tissue
- bone marrow
- wound healing
- cell therapy
- platelet rich plasma
- patients undergoing
- intensive care unit
- emergency department
- coronary artery bypass
- heart failure
- left ventricular
- stem cells
- atrial fibrillation
- early onset
- surgical site infection
- acute coronary syndrome
- percutaneous coronary intervention