A subfascial variant of the deep inferior epigastric artery demonstrated by preoperative multidetector computed tomographic angiography: A case report

Precise preoperative imaging by multidetector computed tomographic (MDCT) angiography for planning of deep inferior epigastric artery perforator (DIEP) flap dissection has been reported for enormous advantages in terms of reduced operative time and minimized flap‐related complications. This case rep...

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Bibliographic Details
Published in:Microsurgery 2010, Vol.30 (2), p.156-158
Main Authors: Garusi, Cristina, Lohsiriwat, Visnu, de Lorenzi, Francesca, Manconi, Andrea, de Fiori, Elvio, Bellomi, Massimo
Format: Article
Language:English
Subjects:
Abdominal Wall - blood supply
Adult
Breast Neoplasms - diagnostic imaging
Breast Neoplasms - surgery
Carcinoma - diagnostic imaging
Carcinoma - surgery
Epigastric Arteries - abnormalities
Fascia - blood supply
Female
Humans
Mammaplasty
Mastectomy
Microsurgery
Preoperative Care
Surgical Flaps - blood supply
Tomography, X-Ray Computed
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Summary:Precise preoperative imaging by multidetector computed tomographic (MDCT) angiography for planning of deep inferior epigastric artery perforator (DIEP) flap dissection has been reported for enormous advantages in terms of reduced operative time and minimized flap‐related complications. This case report shows a particularly rare anatomical subfascia variant of deep inferior epigastric artery (DIEA) which can be preoperatively demonstrated by MDCT angiogram. Therefore, the intraoperative finding also confirms the radiologic data and results in meticulous flap harvesting during incision on anterior rectus sheath. Additionally, the authors emphasize on performing preoperative high quality imaging for DIEP intervention precisely for specific vulnerable course of subfascial plane DIEP, which is rare but tends to be at risk without foreknowing its exact course. © 2009 Wiley‐Liss, Inc. Microsurgery, 2010.
ISSN:0738-1085
1098-2752
DOI:10.1002/micr.20710