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Fibromuscular proliferation in finger arteries after hand replantation: A case report
Author(s) -
MeuliSimmen Claudia,
Eiman Thomas,
Alpert Bernard S.,
Meyer Viktor E.,
Buncke Gregory M.,
Buncke Harry J.
Publication year - 1996
Publication title -
microsurgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.031
H-Index - 63
eISSN - 1098-2752
pISSN - 0738-1085
DOI - 10.1002/(sici)1098-2752(1996)17:10<551::aid-micr4>3.0.co;2-t
Subject(s) - medicine , adventitia , replantation , lumen (anatomy) , intimal hyperplasia , fibrosis , neurovascular bundle , hyperplasia , anastomosis , anatomy , surgery , ischemia , pathology , cardiology , smooth muscle
We report on a case where a digit of a previously replanted hand was amputated 3 years after injury. Histologically, the finger arteries demonstrated a marked intimal thickening due to fibromuscular proliferation, with narrowing of the lumen. The media showed muscular hyperplasia and fibrosis, whereas the adventitia was normal. These changes are probably a consequence of ischemia and reperfusion injury and might explain the persistent vasomotor insufficiency found in replantation patients. MICROSURGERY 17:551–554 1996 © 1997 Wiley‐Liss, Inc.