Extended Wrap-Around Flap for Thumb Reconstruction following Radical Excision of a Congenital Arteriovenous Fistula

Abstract

A 38-year-old woman presented with a large congenital arteriovenous fistula in her left hand with ischaemic atrophy of the thumb and index finger. Radical resection of the lesion and ray amputation of the index finger was done. To allow radical excision and reconstruction of the thumb and skin defect, we used an extended wrap-around flap. This flap is useful for primary reconstruction of the thumb following radical excision of a congenital arteriovenous fistula involving the thumb.