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A subfascial variant of the deep inferior epigastric artery demonstrated by preoperative multidetector computed tomographic angiography: A case report
Author(s) -
Garusi Cristina,
Lohsiriwat Visnu,
de Lorenzi Francesca,
Manconi Andrea,
de Fiori Elvio,
Bellomi Massimo
Publication year - 2009
Publication title -
microsurgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.031
H-Index - 63
eISSN - 1098-2752
pISSN - 0738-1085
DOI - 10.1002/micr.20710
Subject(s) - medicine , diep flap , computed tomographic angiography , angiography , microsurgery , radiology , dissection (medical) , computed tomographic , computed tomography angiography , multidetector computed tomography , inferior epigastric artery , artery , surgery , breast reconstruction , computed tomography , breast cancer , cancer
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.