JPRAS open · 2026
Secondary breast reconstruction using a cross-chest profunda artery perforator flap in a vessel-depleted chest: A case report.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Schweizer Thierry, Nikkhah Dariush, Ghali Shadi
Аннотация
BACKGROUND: Secondary autologous breast reconstruction is technically demanding, particularly in patients with depleted or compromised recipient vessels following prior surgery and radiotherapy.
CASE: We report a case of delayed unilateral breast reconstruction using a profunda artery perforator (PAP) flap anastomosed to contralateral internal mammary vessels after failure of primary DIEP flap reconstruction and radiation-induced ipsilateral vessel occlusion.
RESULTS: A double-perforator PAP flap with a 12-cm pedicle enabled tension-free presternal tunneling and successful microsurgical anastomosis. Indocyanine green angiography confirmed adequate perfusion. Postoperative recovery was uneventful, and follow-up demonstrated a stable reconstruction with a satisfactory aesthetic outcome.
CONCLUSION: Cross-chest PAP flap reconstruction is a feasible and effective strategy in vessel-depleted chests and should be considered when conventional reconstructive options are exhausted.
CASE: We report a case of delayed unilateral breast reconstruction using a profunda artery perforator (PAP) flap anastomosed to contralateral internal mammary vessels after failure of primary DIEP flap reconstruction and radiation-induced ipsilateral vessel occlusion.
RESULTS: A double-perforator PAP flap with a 12-cm pedicle enabled tension-free presternal tunneling and successful microsurgical anastomosis. Indocyanine green angiography confirmed adequate perfusion. Postoperative recovery was uneventful, and follow-up demonstrated a stable reconstruction with a satisfactory aesthetic outcome.
CONCLUSION: Cross-chest PAP flap reconstruction is a feasible and effective strategy in vessel-depleted chests and should be considered when conventional reconstructive options are exhausted.