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Clinical graft analysis had been performed daily, and punch biopsies had been taken for histology. Results Ten VRAM transplants had been carried out. The mean ischemia time had been 89.4 min (SD ± 47), mean pedicle length 7.5 cm (SD ± 2), mean venous diameter 2.5 mm (SD ± 0.4), and suggest arterial diameter 2.2 mm (SD ± 0.3). Follow-up demonstrated good correlation between medical appearance and progression of graft rejection confirmed by histologic assessment. Problems were intraoperative cardiac arrest
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