Multiple Thrombi during Microvascular Anastomosis Caused by Decreased Antithrombin Activity: A Case Report.

ABSTRACT: With recent advances in microsurgical instruments and technique, microvascular anastomosis has become a universal surgical technique; however, thrombosis still presents in a number of cases. Tension, twisting, and compression to the anastomotic site are the main causes of thrombus; however, disorder of the coagulation-fibrinolysis system also need to be considered. To date, only few reports exist regarding thrombosis caused by disorder of coagulant system in microvascular anastomosis. Here we report our 3 cases in which multiple thrombus formation occurred intraoperatively caused by decrease of antithrombin (AT) activity. AT activity was measured twice a day after vascular anastomosis: after surgery and up to 3 days after surgery. Thrombosis was not observed in any of the 3 patients intrao

SUBMITTER: Uchibori T 

PROVIDER: S-EPMC7339140 | biostudies-literature | 2020 Jun

REPOSITORIES: biostudies-literature