Dm. Kalainov et al., MYCOTIC-ANEURYSM IN A FREE-FLAP - CASE-REPORT, Scandinavian journal of plastic and reconstructive surgery and hand surgery, 32(2), 1998, pp. 233-236
A 41-year-old man developed a 3 x 4 cm wound after corrective osteotom
ies of his distal tibia and fibula. The wound was debrided and covered
with a free gracilis muscle flap. Seven days after flap transfer, the
arterial pedicle ruptured adjacent to the anastomosis. Attempted repa
ir of the aneurysm failed and the graft was subsequently debrided. Int
raoperative wound cultures grew Pseudomonas and Enterobacter cloacae,
which were attributed to formation of the aneurysm.