Publication:

Spontaneous uncoupling of microvascular anastomotic coupler device causing post-operative haematoma - salvage with re-coupling of the device: a case report

We report here a case of spontaneous uncoupling of the microvascular anastomotic coupler device (MACD), commonly known as venous coupler, causing acute post-operative bleeding and haematoma in early post-operative period, in a patient with free muscle sparing TRAM flap. This was noticed as the patient suddenly abducted her right arm post-operatively while patient tried to get up in a bed. This acute emergency was salvaged by re-engaging the coupler rings, with a simple technique with reinforced 9-0 Nylon sutures, without the need for revising the entire anastomosis.