The Adult Respiratory Distress Syndrome after Dextran Infusion as an Antithrombotic Agent in Free TRAM Flap Breast Reconstruction

Abstract

Adult respiratory distress syndrome occurred in a patient who had received dextran as a routine antithrombotic agent during and after free TRAM breast reconstruction. Although most patients who receive dextran have no adverse reaction, particularly after hapten inhibition by dextran 1 infusion, the serious nature of this complication in an elective operation calls into question the continuing routine use of dextran in microsurgery.