RESUMO
CASE: A 51-year-old woman, who had previously undergone C5-C7 anterior cervical discectomy and fusion, presented with symptomatic hardware failure and subsequently underwent instrumentation removal. Her postoperative course was complicated by an esophageal perforation. Despite initial repair using a rotational flap, the leak persisted, prompting esophageal reconstruction with a radial forearm free flap (RFFF). CONCLUSION: Persistent esophageal perforation is exceedingly rare and difficult to treat. This report discusses the surgical technique for RFFF, an excellent option for revising failed sternocleidomastoid rotational flaps. The decision between rotational repair and free flap reconstruction depends on factors such as defect size, vascularization, wound condition, and donor site morbidity.
Assuntos
Vértebras Cervicais , Perfuração Esofágica , Fusão Vertebral , Humanos , Feminino , Pessoa de Meia-Idade , Perfuração Esofágica/cirurgia , Perfuração Esofágica/etiologia , Vértebras Cervicais/cirurgia , Fusão Vertebral/efeitos adversos , Fusão Vertebral/instrumentação , Remoção de Dispositivo , Antebraço/cirurgia , Retalhos de Tecido Biológico/efeitos adversos , Discotomia/efeitos adversos , Complicações Pós-Operatórias/cirurgia , Complicações Pós-Operatórias/etiologiaRESUMO
The definitive management of an aortic root abscess is an operation associated with high morbidity and mortality. These operations are convoluted, time-consuming, and involve conceptionally intricate reconstructions. Following debridement of periannular abscesses, several challenges may persist, with one common issue being the destruction of the aortomitral curtain. Considering the daunting nature of this situation, the authors describe a step-by-step bovine pericardial patch reconstruction of the aortomitral curtain that endeavours to provide a simplified explanation for its use by a broader audience.