Cargando…

Immediate Breast Reconstruction with Deep Inferior Epigastric Perforator Flap in a Patient with Previous Surgical Correction of Pectus Excavatum

Pectus excavatum is a deformity of the chest wall characterized by a sternal depression and possibly cardiac and pulmonary compression. Procedures performed during infancy for its correction may disrupt local anatomy and pose challenges to breast and reconstructive surgeons during mastectomy and rec...

Descripción completa

Detalles Bibliográficos
Autores principales: Piccolo, Paulo P., Nahabedian, Maurice Y., Venturi, Mark, Mesbahi, Ali
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9746778/
https://www.ncbi.nlm.nih.gov/pubmed/36530852
http://dx.doi.org/10.1097/GOX.0000000000004725
_version_ 1784849440384745472
author Piccolo, Paulo P.
Nahabedian, Maurice Y.
Venturi, Mark
Mesbahi, Ali
author_facet Piccolo, Paulo P.
Nahabedian, Maurice Y.
Venturi, Mark
Mesbahi, Ali
author_sort Piccolo, Paulo P.
collection PubMed
description Pectus excavatum is a deformity of the chest wall characterized by a sternal depression and possibly cardiac and pulmonary compression. Procedures performed during infancy for its correction may disrupt local anatomy and pose challenges to breast and reconstructive surgeons during mastectomy and reconstruction. We present a case report of a 45-year-old woman who had a Ravitch procedure for pectus excavatum correction in infancy who was diagnosed with right breast cancer undergoing bilateral nipple-sparing mastectomy with immediate deep inferior epigastric perforator flap reconstruction. A computed tomography angiography was used to study chest and abdominal anatomy before surgery. Patient safely underwent immediate breast reconstruction with deep inferior epigastric perforator flaps using the internal mammary vessels as recipient vessels. This case highlights the importance of preoperative vascular imaging and proper communication between the breast and plastic surgery teams during reconstructive surgery. It also displays the safety of performing immediate breast reconstruction using free tissue transfer and the internal mammary vessels as recipients for microvascular anastomosis.
format Online
Article
Text
id pubmed-9746778
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Lippincott Williams & Wilkins
record_format MEDLINE/PubMed
spelling pubmed-97467782022-12-16 Immediate Breast Reconstruction with Deep Inferior Epigastric Perforator Flap in a Patient with Previous Surgical Correction of Pectus Excavatum Piccolo, Paulo P. Nahabedian, Maurice Y. Venturi, Mark Mesbahi, Ali Plast Reconstr Surg Glob Open Breast Pectus excavatum is a deformity of the chest wall characterized by a sternal depression and possibly cardiac and pulmonary compression. Procedures performed during infancy for its correction may disrupt local anatomy and pose challenges to breast and reconstructive surgeons during mastectomy and reconstruction. We present a case report of a 45-year-old woman who had a Ravitch procedure for pectus excavatum correction in infancy who was diagnosed with right breast cancer undergoing bilateral nipple-sparing mastectomy with immediate deep inferior epigastric perforator flap reconstruction. A computed tomography angiography was used to study chest and abdominal anatomy before surgery. Patient safely underwent immediate breast reconstruction with deep inferior epigastric perforator flaps using the internal mammary vessels as recipient vessels. This case highlights the importance of preoperative vascular imaging and proper communication between the breast and plastic surgery teams during reconstructive surgery. It also displays the safety of performing immediate breast reconstruction using free tissue transfer and the internal mammary vessels as recipients for microvascular anastomosis. Lippincott Williams & Wilkins 2022-12-12 /pmc/articles/PMC9746778/ /pubmed/36530852 http://dx.doi.org/10.1097/GOX.0000000000004725 Text en Copyright © 2022 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (https://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Breast
Piccolo, Paulo P.
Nahabedian, Maurice Y.
Venturi, Mark
Mesbahi, Ali
Immediate Breast Reconstruction with Deep Inferior Epigastric Perforator Flap in a Patient with Previous Surgical Correction of Pectus Excavatum
title Immediate Breast Reconstruction with Deep Inferior Epigastric Perforator Flap in a Patient with Previous Surgical Correction of Pectus Excavatum
title_full Immediate Breast Reconstruction with Deep Inferior Epigastric Perforator Flap in a Patient with Previous Surgical Correction of Pectus Excavatum
title_fullStr Immediate Breast Reconstruction with Deep Inferior Epigastric Perforator Flap in a Patient with Previous Surgical Correction of Pectus Excavatum
title_full_unstemmed Immediate Breast Reconstruction with Deep Inferior Epigastric Perforator Flap in a Patient with Previous Surgical Correction of Pectus Excavatum
title_short Immediate Breast Reconstruction with Deep Inferior Epigastric Perforator Flap in a Patient with Previous Surgical Correction of Pectus Excavatum
title_sort immediate breast reconstruction with deep inferior epigastric perforator flap in a patient with previous surgical correction of pectus excavatum
topic Breast
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9746778/
https://www.ncbi.nlm.nih.gov/pubmed/36530852
http://dx.doi.org/10.1097/GOX.0000000000004725
work_keys_str_mv AT piccolopaulop immediatebreastreconstructionwithdeepinferiorepigastricperforatorflapinapatientwithprevioussurgicalcorrectionofpectusexcavatum
AT nahabedianmauricey immediatebreastreconstructionwithdeepinferiorepigastricperforatorflapinapatientwithprevioussurgicalcorrectionofpectusexcavatum
AT venturimark immediatebreastreconstructionwithdeepinferiorepigastricperforatorflapinapatientwithprevioussurgicalcorrectionofpectusexcavatum
AT mesbahiali immediatebreastreconstructionwithdeepinferiorepigastricperforatorflapinapatientwithprevioussurgicalcorrectionofpectusexcavatum