scholarly journals Bilateral free flap breast reconstruction using venous cross‐over bypass to contralateral internal mammary artery for salvaging thrombosed arterial anastomosis in unilateral repeated irradiation of the breast: A case report

Microsurgery ◽  
2021 ◽  
Author(s):  
Aijia Cai ◽  
Alexander Geierlehner ◽  
Andreas Arkudas ◽  
Raymund E. Horch
Keyword(s):  
Case Report ◽  
Breast Reconstruction ◽  
Free Flap ◽  
Internal Mammary Artery ◽  
Internal Mammary ◽  
Arterial Anastomosis

Internal Mammary Artery Perforators for the Salvage of a Superficially Dominant Free Flap Breast Reconstruction

2010 ◽  
Vol 125 (6) ◽  
pp. 254e-255e
Author(s):  
Brian D. Cohen ◽  
Nicholas Vendemia ◽  
Jason A. Spector ◽  
Christine H. Rohde
Keyword(s):  
Breast Reconstruction ◽  
Free Flap ◽  
Internal Mammary Artery ◽  
Internal Mammary

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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