Superficial inferior epigastric artery (SIEA) free flap using perforator vessels as a recipient site: clinical implications in autologous breast reconstruction

2011 ◽  
Vol 202 (5) ◽  
pp. 612-617 ◽  
Author(s):  
Alexandre Mendonça Munhoz ◽  
Leandro Pellarin ◽  
Eduardo Montag ◽  
José Roberto Filassi ◽  
Adriano Tachibana ◽  
...  
Keyword(s):  
Breast Reconstruction ◽  
Free Flap ◽  
Clinical Implications ◽  
Inferior Epigastric Artery ◽  
Autologous Breast Reconstruction ◽  
Recipient Site ◽  
Epigastric Artery ◽  
Perforator Vessels

Autologous Breast Reconstruction Using the Superficial Inferior Epigastric Artery Flap Revisited

2005 ◽  
Vol 116 (Supplement) ◽  
pp. 133 ◽  
Author(s):  
Jay W. Granzow ◽  
Ernest S. Chiu ◽  
Joshua L. Levine ◽  
Abhinav Gautam ◽  
Alex Hellman ◽  
...  
Keyword(s):  
Breast Reconstruction ◽  
Inferior Epigastric Artery ◽  
Autologous Breast Reconstruction ◽  
Epigastric Artery

scholarly journals The Retrograde Limb of the Internal Mammary Artery: An Alternative Inflow Option for Free Flap Breast Reconstruction

2020 ◽  
Vol 25 (4) ◽  
pp. 326-330
Author(s):  
Hyung Min Hahn ◽  
Bohwan Cha ◽  
Il Jae Lee
Keyword(s):  
Breast Reconstruction ◽  
Free Flap ◽  
Internal Mammary Artery ◽  
Ductal Carcinoma ◽  
Perforator Flap ◽  
Autologous Breast Reconstruction ◽  
Epigastric Artery ◽  
Internal Mammary ◽  
Deep Inferior Epigastric Artery ◽  
Arterial Insufficiency

Autologous breast reconstruction using a free flap is a popular option for breast reconstruction after mastectomy. The internal mammary system is the recipient of choice in autologous breast reconstruction. We present our experience utilizing the caudal limb of the internal mammary artery as the recipient artery. A 44-year-old female patient with invasive ductal carcinoma in her right breast received total mastectomy and reconstruction with the deep inferior epigastric artery perforator flap was planned. During the operation, arterial insufficiency occurred three times; therefore, we decided to change the plan and to perform anastomosis to the caudal limb of the internal mammary artery. Retrograde blood flow of the internal mammary artery was successfully achieved. Immediate postoperative and long-term outcomes of the flap were satisfactory. This inflow option may be useful in cases with arterial insufficiency on conventional anastomosis or in cases with bipedicled or stacked flaps for unilateral breast reconstruction.

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