Tyrell Richard, Leong Rachelle Y, Sathyanarayana Sandeep A, Korn Peter, Kadison Alan S
Department of General Surgery, North Shore-Long Island Jewish Health System, Hofstra University School of Medicine, Hempstead, New York.
Int J Angiol. 2016 Dec;25(5):e87-e88. doi: 10.1055/s-0034-1390085. Epub 2014 Sep 26.
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.
腹壁下动脉穿支（DIEP）皮瓣已成为自体乳房重建的一个有吸引力的选择。胸廓内动脉（IMA）是重建常用的动脉选择。不幸的是，在某些情况下，IMA可能不适合使用，比如既往接受过放疗或血管细小。已经有多种选择被记录在案，比如使用胸背血管。在本病例报告中，我们报告了使用对侧单支乳房动脉的远端和近端为双侧DIEP皮瓣提供顺行和逆行血流。随着患者群体的日益复杂，在DIEP重建中使用替代受区血管的方法对于取得有效的治疗效果至关重要。
