%0 Journal Article %T VRAM steal syndrome ¨C a unique cause of flap necrosis in chest wall reconstruction %A N Pantelide %A S Iyer %A S Young %J Archive of "Annals of The Royal College of Surgeons of England". %D 2018 %R 10.1308/rcsann.2017.0228 %X The pedicled vertical rectus abdominis myocutaneous (VRAM) flap is a robust flap, which is considered to be a ¡®workhorse¡¯ regional option for chest wall reconstruction. We describe a previously unreported complication of partial flap loss due to ¡®steal syndrome¡¯, whereby arterial supply was diverted away from the flap due to dialysis from an ipsilateral arteriovenous fistula %K Steal syndrome %K Coronary artery bypass grafting %K Arteriovenous fistula %K Pedicled flap %K Rectus abdominis %U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5930105/