Case 1 Clinical Presentation A 64-year-old White male with a history of hypertension and two previous coronary artery bypass grafting surgeries underwent uneventful heart transplantation for severe congestive heart failure. During his cardiac transplant surgery, the left femoral artery and…
Case 1 Clinical Presentation A 68-year-old White male had a complicated postoperative course after an osteocutaneous flap harvest from his right hip by another surgical service. He had a significantly large open wound over the right hip, measuring 25 × 10 cm,…
Case 1 Clinical Presentation A 14-year-old Black American morbidly obese female underwent hemipelvectomy for a pelvis osteosarcoma. She subsequently underwent pelvic reconstruction with a free fibular vascularized bone graft and a reconstruction plate by the orthopedic oncology and hand surgery…
Case 1 Clinical Presentation A 45-year-old White female sustained a chronic radiation wound, measuring 10 × 9 cm, over her upper lumbar area with exposed spinal processes ( Fig. 29.1 ). This wound was a complication of radiation to the area for treatment…
Clinical Presentation A 63-year-old White male underwent a wide local excision of his upper back soft tissue sarcoma by the surgical oncology service, which left a 12 × 12 cm large soft tissue defect down to the deep muscle. The plastic surgery…
Clinical Presentation A 66-year-old White male had a renal transplantation for end-stage renal disease secondary to polycystic kidney disease by the transplant surgery service. He also had 50 pack-year of smoking history. He had chronic hypoalbuminemia caused by peritoneal dialysis.…
Clinical Presentation A 36-year-old White male sustained extensive thermal burn and had excisions and skin graft procedures on his trunk, axilla, and upper extremity. He also developed compartment syndrome and subsequently underwent a decompression procedure for compartment syndrome release. He…
Case 1 Clinical Presentation The plastic surgery service was asked by the surgical oncology service to evaluate a 53-year-old White male with esophageal discontinuity after esophagectomy for cancer and failure of two previous esophageal reconstructions. The patient’s condition began 5…
Case 1 Clinical Presentation A 49-year-old White female underwent right total pneumonectomy for stage IIIA nonsmall cell lung cancer. She had preoperative radiation and chemotherapy for treatment of her advanced cancer. About 2 weeks postoperatively, she was found to have right…
Clinical Presentation A 19-year-old White female had a large soft tissue mass in her lower chest and sternal area. Preoperative biopsy showed desmoid type of fibromatosis. She underwent resection of this soft tissue mass by the pediatric cardiothoracic surgery service…