Using a Single Internal Mammary Artery as Retrograde and Antegrade Flow for Bilateral Deep Inferior Epigastric Artery Perforator Reconstruction: A Case Report

Richard Tyrell; Rachelle Y. Leong; Sandeep A. Sathyanarayana; Peter Korn; Alan S. Kadison

doi:10.1055/s-0034-1390085

International Journal of Angiology, Table of Contents

Int J Angiol 2016; 25(05): e87-e88
DOI: 10.1055/s-0034-1390085

Case Report

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Using a Single Internal Mammary Artery as Retrograde and Antegrade Flow for Bilateral Deep Inferior Epigastric Artery Perforator Reconstruction: A Case Report

Richard Tyrell

¹Department of General Surgery, North Shore-Long Island Jewish Health System, Hofstra University School of Medicine, Hempstead, New York

,

Rachelle Y. Leong

¹Department of General Surgery, North Shore-Long Island Jewish Health System, Hofstra University School of Medicine, Hempstead, New York

,

Sandeep A. Sathyanarayana

¹Department of General Surgery, North Shore-Long Island Jewish Health System, Hofstra University School of Medicine, Hempstead, New York

,

Peter Korn

¹Department of General Surgery, North Shore-Long Island Jewish Health System, Hofstra University School of Medicine, Hempstead, New York

,

Alan S. Kadison

¹Department of General Surgery, North Shore-Long Island Jewish Health System, Hofstra University School of Medicine, Hempstead, New York

› Author Affiliations

Abstract

Deep inferior epigastric artery perforator (DIEP) flaps have become an attractive option for autologous breast reconstruction. The internal mammary artery (IMA) is the usual artery of choice for reconstruction. Unfortunately, there are certain situations when the IMA may not be suitable for usage as in previous radiation or diminutive size. Several options have been documented, such as using the thoracodorsal vessels. In this case report, we report usage of the distal and proximal ends of a contralateral single mammary artery to supply antegrade and retrograde flow to bilateral DIEP flaps. With increasing complexity of patient populations, the use of alternate approaches to recipient vessel in DIEP reconstruction becomes essential for effective outcomes.

Keywords

DIEP - internal mammary artery - antegrade - retrograde - breast reconstruction

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References

References
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