Bilateral superior epigastric pedicle perforator flaps for total chest wall coverage

Georgette Oni, Rohit Sharma, Roshni Rao, Jacob Unger, Michel Saint-Cyr

Research output: Contribution to journalArticle

11 Scopus citations

Abstract

The superior epigastric artery (SEA), a terminal branch of the internal mammary artery, is analogous to the deep inferior epigastric artery (DIEA) in that it supplies a large number of perforators that are clustered together. This allows tissue from the superior abdomen to be used as a pedicled flap for reconstruction. A reliable and well-perfused pedicled flap can be based on this cluster of perforators, hence the term 'pedicle cluster perforator flap'. We present a case of a patient with recurrent angiosarcoma, who required total anterior chest wall reconstruction. This was achieved using bilateral pedicled SEA perforator flaps for complete coverage. To our knowledge, this is the first documented case of bilateral pedicled perforator flap reconstruction for complete chest wall reconstruction.

Original languageEnglish (US)
Pages (from-to)1104-1107
Number of pages4
JournalJournal of Plastic, Reconstructive and Aesthetic Surgery
Volume64
Issue number8
DOIs
StatePublished - Aug 1 2011

Keywords

  • Chest wall reconstruction
  • Free-style flaps
  • Perforasome
  • Perforator flap
  • Superior epigastric artery

ASJC Scopus subject areas

  • Surgery

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