Hodge K, Yuen J, Moursi M, Eidt J F
Department of Surgery, University of Arkansas for Medical Sciences, Little Rock, USA.
Ann Plast Surg. 2000 Oct;45(4):427-30. doi: 10.1097/00000637-200045040-00013.
In the setting of aortoiliac occlusive disease, the inferior epigastric artery may be an important pathway for collateral blood supply to the lower extremities. A 72-year-old man developed critical ischemia of both legs after harvest of a rectus abdominis free flap as a result of interruption of the inferior epigastric artery. In patients with aortoiliac occlusive disease, the contribution of the inferior epigastric artery to lower extremity blood flow should be evaluated noninvasively. In the setting of reversed flow, the inferior epigastric artery usually should not be divided.
在腹主动脉髂动脉闭塞性疾病的情况下，腹壁下动脉可能是下肢侧支供血的重要途径。一名72岁男性在切取腹直肌游离皮瓣后，由于腹壁下动脉中断，出现双下肢严重缺血。对于患有腹主动脉髂动脉闭塞性疾病的患者，应采用无创方法评估腹壁下动脉对下肢血流的贡献。在出现反向血流的情况下，通常不应切断腹壁下动脉。
