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Indirect revascularization of the lower extremity by means of microvascular free-muscle flap—A preliminary report  Kenneth C. Shestak, MD, Douglas L.

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Presentation on theme: "Indirect revascularization of the lower extremity by means of microvascular free-muscle flap—A preliminary report  Kenneth C. Shestak, MD, Douglas L."— Presentation transcript:

1 Indirect revascularization of the lower extremity by means of microvascular free-muscle flap—A preliminary report  Kenneth C. Shestak, MD, Douglas L. Hendricks, MD, Marshall W. Webster, MD  Journal of Vascular Surgery  Volume 12, Issue 5, Pages (November 1990) DOI: / (90) Copyright © 1990 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

2 Fig. 1 Nonhealing ischemic ulcer dorsum of foot with exposed extensor tendons of second and third toes. Journal of Vascular Surgery  , DOI: ( / (90) ) Copyright © 1990 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

3 Fig. 2 Lower extremity arteriogram reveals severe occlusive disease of popliteal trifurcation with faint segmental reconstitution of anterior tibial artery in middle third of lower leg (double arrows), without visualization of any vessels distal to this. Journal of Vascular Surgery  , DOI: ( / (90) ) Copyright © 1990 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

4 Fig. 3 Reverse saphenous vein graft from proximal popliteal artery with anastomosis directly to latissimus dorsi free flap. Journal of Vascular Surgery  , DOI: ( / (90) ) Copyright © 1990 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

5 Fig. 4 Six-week postoperative arteriogram shows vein graft, patent anastomosis to thoracodorsal artery, intramuscular arterial arcade, and “new” vessels (solid black arrows) anastomosing with the native vessels of foot (open arrow). Journal of Vascular Surgery  , DOI: ( / (90) ) Copyright © 1990 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

6 Fig. 5 Two-year postoperative view of foot shows healed flap and stable wound coverage. Journal of Vascular Surgery  , DOI: ( / (90) ) Copyright © 1990 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

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