Salvage of a TRAM breast reconstruction flap using the retrograde internal mammary artery system
Background: Free tissue transfer provides an optimal means for breast reconstruction in creating an aesthetically natural appearance that is durable over time. The choice of donor vessels vary from surgeon to surgeon, but the internal mammary axis is one of the most popular choices together with the...
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| Format: | Article |
| Language: | English |
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2014-09-01
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| Series: | Indian Journal of Plastic Surgery |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.4103/0970-0358.146657 |
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| author | Sameena Hassan Tuabin Rasheed Anna Raurell |
| author_facet | Sameena Hassan Tuabin Rasheed Anna Raurell |
| author_sort | Sameena Hassan |
| collection | DOAJ |
| description | Background: Free tissue transfer provides an optimal means for breast reconstruction in creating an aesthetically natural appearance that is durable over time. The choice of donor vessels vary from surgeon to surgeon, but the internal mammary axis is one of the most popular choices together with the thoracodorsal vessels. Aims and Results: We present the case of a salvaged free transverse rectus abdominis myocutaneous breast reconstruction in which end-to-end antegrade anastomosis to the internal mammary artery (IMA) was not possible due to frail vessel walls, but retrograde anastomosis to the IMA and antegrade anastomosis of internal mammary vessel resulted in a perfused and viable flap. Conclusion: We suggest the use of the retrograde internal mammary arterial system for microsurgical anastomosis when the anterograde flow is not adequate, the vessel wall is friable, and when other more common options are not available. |
| format | Article |
| id | doaj-art-a29f988f41a54cfa99dfb612b94e29b8 |
| institution | OA Journals |
| issn | 0970-0358 1998-376X |
| language | English |
| publishDate | 2014-09-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Indian Journal of Plastic Surgery |
| spelling | doaj-art-a29f988f41a54cfa99dfb612b94e29b82025-08-20T02:20:55ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Plastic Surgery0970-03581998-376X2014-09-01470344744910.4103/0970-0358.146657Salvage of a TRAM breast reconstruction flap using the retrograde internal mammary artery systemSameena Hassan0Tuabin Rasheed1Anna Raurell2Department of Plastic and Reconstructive Surgery, Nottingham University Hospitals NHS Trust, United KingdomDepartment of Plastic and Reconstructive Surgery, Nottingham University Hospitals NHS Trust, United KingdomDepartment of Plastic and Reconstructive Surgery, Nottingham University Hospitals NHS Trust, United KingdomBackground: Free tissue transfer provides an optimal means for breast reconstruction in creating an aesthetically natural appearance that is durable over time. The choice of donor vessels vary from surgeon to surgeon, but the internal mammary axis is one of the most popular choices together with the thoracodorsal vessels. Aims and Results: We present the case of a salvaged free transverse rectus abdominis myocutaneous breast reconstruction in which end-to-end antegrade anastomosis to the internal mammary artery (IMA) was not possible due to frail vessel walls, but retrograde anastomosis to the IMA and antegrade anastomosis of internal mammary vessel resulted in a perfused and viable flap. Conclusion: We suggest the use of the retrograde internal mammary arterial system for microsurgical anastomosis when the anterograde flow is not adequate, the vessel wall is friable, and when other more common options are not available.http://www.thieme-connect.de/DOI/DOI?10.4103/0970-0358.146657breast reconstructiondeep inferior epigastric perforatorretrograde |
| spellingShingle | Sameena Hassan Tuabin Rasheed Anna Raurell Salvage of a TRAM breast reconstruction flap using the retrograde internal mammary artery system Indian Journal of Plastic Surgery breast reconstruction deep inferior epigastric perforator retrograde |
| title | Salvage of a TRAM breast reconstruction flap using the retrograde internal mammary artery system |
| title_full | Salvage of a TRAM breast reconstruction flap using the retrograde internal mammary artery system |
| title_fullStr | Salvage of a TRAM breast reconstruction flap using the retrograde internal mammary artery system |
| title_full_unstemmed | Salvage of a TRAM breast reconstruction flap using the retrograde internal mammary artery system |
| title_short | Salvage of a TRAM breast reconstruction flap using the retrograde internal mammary artery system |
| title_sort | salvage of a tram breast reconstruction flap using the retrograde internal mammary artery system |
| topic | breast reconstruction deep inferior epigastric perforator retrograde |
| url | http://www.thieme-connect.de/DOI/DOI?10.4103/0970-0358.146657 |
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