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Delayed arteriovenous (AV) fistula after soft tissue reconstruction with flap surgery is a rare complication. To our knowledge, there are few reports of AV fistula that occurred after free flap surgery [1-4]. However, no cases of spontaneously developed AV fistula after island flaps have been reported. According to our knowledge, this report is the first to describe delayed AV fistula that occurred 4 years after a reverse flow sural island flap surgery in a lower leg.

Delayed Arteriovenous Fistula after Reverse Flow Sural Island Flap in Lower Leg: A Case Report