Subscribe to RSS
Download PDF
DOI: 10.5999/aps.2016.43.5.457
Immediate Bilateral Breast Reconstruction with Unilateral Deep Superior Epigastric Artery and Superficial Circumflex Iliac Artery Flaps
Authors
Autologous breast reconstruction utilizing a perforator flap is an increasingly popular method for reducing donor site morbidity and implant-related complications. However, aberrant anatomy not readily visible on computed tomography angiography is a rare albeit real risk when undergoing perforator flap reconstruction. We present an operative case of a patient who successfully underwent a bilateral breast reconstruction sourced from a unilateral abdominal flap divided into deep superior epigastric artery and superficial circumflex iliac artery flap segments.
Publication History
Received: 17 March 2016
Accepted: 07 June 2016
Article published online:
20 April 2022
© 2016. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonCommercial License, permitting unrestricted noncommercial use, distribution, and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes. (https://creativecommons.org/licenses/by-nc/4.0/)
Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA
-
REFERENCES
- 1 Hallock GG. If based on citation volume, perforator flaps have landed mainstream. Plast Reconstr Surg 2012; 130: 769e-771e
- 2 Rozen WM, Murray AC, Ashton MW. et al. The cutaneous course of deep inferior epigastric perforators: implications for flap thinning. J Plast Reconstr Aesthet Surg 2009; 62: 986-990
- 3 Rozen WM, Whitaker IS, Ting JW. et al. Deep inferior epigastric artery perforator flap harvest after abdominoplasty with the use of computed tomographic angiography. Plast Reconstr Surg 2012; 129: 198e-200e
- 4 Park YJ, Kim EK, Yun JY. et al. The influence of pfannenstiel incision scarring on deep inferior epigastric perforator. Arch Plast Surg 2014; 41: 542-547
- 5 Figus A, Canu V, Iwuagwu FC. et al. DIEP flap with implant: a further option in optimising breast reconstruction. J Plast Reconstr Aesthet Surg 2009; 62: 1118-1126
- 6 Teunis T, Heerma van Voss MR, Kon M. et al. CT-angiography prior to DIEP flap breast reconstruction: a systematic review and meta-analysis. Microsurgery 2013; 33: 496-502
- 7 Cina A, Barone-Adesi L, Rinaldi P. et al. Planning deep inferior epigastric perforator flaps for breast reconstruction: a comparison between multidetector computed tomography and magnetic resonance angiography. Eur Radiol 2013; 23: 2333-2343
- 8 Rozen WM, Ashton MW, Stella DL. et al. The accuracy of computed tomographic angiography for mapping the perforators of the DIEA: a cadaveric study. Plast Reconstr Surg 2008; 122: 363-369
- 9 Masia J, Clavero JA, Larranaga JR. et al. Multidetector-row computed tomography in the planning of abdominal perforator flaps. J Plast Reconstr Aesthet Surg 2006; 59: 594-599
- 10 Scott JR, Liu D, Said H. et al. Computed tomographic angiography in planning abdomen-based microsurgical breast reconstruction: a comparison with color duplex ultrasound. Plast Reconstr Surg 2010; 125: 446-453
- 11 Rozen WM, Phillips TJ, Ashton MW. et al. Preoperative imaging for DIEA perforator flaps: a comparative study of computed tomographic angiography and doppler ultrasound. Plast Reconstr Surg 2008; 121 (Suppl. 01) 1-8
- 12 Keys KA, Louie O, Said HK. et al. Clinical utility of CT angiography in DIEP breast reconstruction. J Plast Reconstr Aesthet Surg 2013; 66: e61-e65