Fibromuscular proliferation in finger arteries after hand replantation: a case report.

Meuli-Simmen, C; Eiman, T; Alpert, B S; Meyer, V E; Buncke, G M; Buncke, H J · Microsurgery · 1996

case_report · Level V

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Abstract

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.

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