The survival of a free flap after post-operative cardiac arrest and cardiopulmonary resuscitation in an 85-year-old female: A case report and literature review

Mitsutoshi Okuda, Tomoaki Kuroki, Fuko Iwai, Eri Anzaki, Takuji Yokoyama, Koshiro Tanaka, Nobuyuki Mitsukawa · 2026

Read The survival of a free flap after post-operative cardiac arrest and cardiopulmonary resuscitation in an 85-year-old female: A case report and literature review by Mitsutoshi Okuda, Tomoaki Kuroki, Fuko Iwai, Eri Anzaki, Takuji Yokoyama, Koshiro Tanaka, Nobuyuki Mitsukawa (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-13315651.txt.

Description

Mitsutoshi Okuda and colleagues describe, in a 2026 case report with review, a forearm flap that survived its patient's cardiac arrest. An 85-year-old woman had a tumor excised, leaving a defect of 100 by 250 millimeters repaired with a free flap of thigh tissue connected to vessels. Two days after surgery her heart stopped. Ten minutes of resuscitation with adrenaline restored circulation, but a free flap, dependent on a single vessel connection, was the tissue surgeons would expect to lose.

Watched for a month, the flap showed no death or infection, and the patient left for a facility on day fifty-three, her cognition impaired but the reconstruction intact. The authors gathered the comparison set: two cases at their institution and three in the literature, six surviving flaps. Their analysis suggests arrest and resuscitation may not doom a free flap, a reassuring signal for teams weighing how to fight for one.

Catalog record

CREATORMitsutoshi Okuda, Tomoaki Kuroki, Fuko Iwai, Eri Anzaki, Takuji Yokoyama, Koshiro Tanaka, Nobuyuki Mitsukawa
YEAR2026
COLLECTIONPAPERS
FORMATTXT
FILE SIZE20 KB
VERSION1.0
LICENSECC BY 4.0
RIGHTSCC BY
SOURCEEurope PMC

Source: https://europepmc.org/articles/PMC13315651

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