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Circummuscular Variant of the Deep Inferior Epigastric Perforator in Breast Reconstruction: Importance of Preoperative Multidetector Computed Tomographic Angiography

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Abstract

The deep inferior epigastric artery perforator is reliable and widely used in breast reconstruction. The anatomy and course of deep inferior epigastric vessels and their branches are relatively constant and well understood. However, some published cases with a direct perforating pattern and no intramuscular traveling were identified. A case involving a circummuscular variant of a deep inferior epigastric artery perforator is described as well as its clinical importance. This apprises clinicians who perform a transverse rectus abdominis muscle free flap procedure that there can be a rare circummuscular pedicle variant and that it is vulnerable to injury.

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References

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Authors and Affiliations

  1. Breast Center, Seoul National University Bundang Hospital, 300 Gumi-dong, Bundang-gu, Seongnam-si, Gyeonggi-do, 463-707, Korea

    Chanyeong Heo, Jihan Yoo, Kyungwon Minn & Sungwon Kim

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  1. Chanyeong Heo
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  2. Jihan Yoo
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  3. Kyungwon Minn
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  4. Sungwon Kim
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Correspondence to Chanyeong Heo.

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Heo, C., Yoo, J., Minn, K. et al. Circummuscular Variant of the Deep Inferior Epigastric Perforator in Breast Reconstruction: Importance of Preoperative Multidetector Computed Tomographic Angiography. Aesth Plast Surg 32, 817–819 (2008). https://doi.org/10.1007/s00266-008-9219-6

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  • DOI: https://doi.org/10.1007/s00266-008-9219-6

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