COVID-19 Associated Micro-Anastomotic Thrombosis After Abdominal Free Tissue Transfer: A Case Report and Literature Review.

Peter VonuRachel SafeekKalyan DadireddyMarc ZumbergLisa SpiguelSarah Sorice-Virk

Published in: Plastic surgery (Oakville, Ont.) (2023)

The hypercoagulable state of COVID-19 infection presents a challenge to microsurgeons. While the American Society of Anesthesiologists recommends deferring surgery for 4-10 weeks for COVID-19-infected patients, little else is known regarding how to mitigate thrombotic complications for patients undergoing free tissue transfer. Here, we present a presumed COVID-19-induced hypercoagulable state in a patient undergoing abdominally based free tissue transfer for breast reconstruction as a brief review of the literature to guide clinical decision making.

Keyphrases

coronavirus disease
sars cov
patients undergoing
decision making
breast reconstruction
minimally invasive
pulmonary embolism
high glucose
coronary artery bypass
risk factors
rectal cancer
acute coronary syndrome
atrial fibrillation
oxidative stress
drug induced
stress induced
surgical site infection