Archives of Reconstructive Microsurgery
- 제20권1호
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- Pages.14-17
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- 2011
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- 2383-5257(pISSN)
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- 2288-6184(eISSN)
미세유방재건술시 깊은 아래 배벽 동맥의 해부학적 변형에 대한 임상 보고
The Anatomical Variations of DIEA (Deep Inferior Epigastric Artery) in Microsurgical Breast Reconstruction: Clinical Report
- 장서윤 (고려대학교 의과대학 안산병원 성형외과학교실) ;
- 김덕우 (고려대학교 의과대학 안산병원 성형외과학교실) ;
- 동은상 (고려대학교 의과대학 안산병원 성형외과학교실) ;
- 윤을식 (고려대학교 의과대학 안산병원 성형외과학교실) ;
- 류우상 (고려대학교 의과대학 안산병원 외과학교실) ;
- 손길수 (고려대학교 의과대학 안산병원 외과학교실)
- Jang, Seo-Yoon (Department of Plastic Surgery, Korea University Ansan Hospital) ;
- Kim, Deok-Woo (Department of Plastic Surgery, Korea University Ansan Hospital) ;
- Dhong, Eun-Sang (Department of Plastic Surgery, Korea University Ansan Hospital) ;
- Yoon, Eul-Sik (Department of Plastic Surgery, Korea University Ansan Hospital) ;
- Ryu, Woo-Sang (Department of Surgery, Korea University Ansan Hospital) ;
- Son, Gil-Soo (Department of Surgery, Korea University Ansan Hospital)
- 발행 : 2011.05.31
초록
Autologous breast reconstruction after mastectomy in breast cancer patient is now increasing. The deep inferior epigastric artery (DIEA) free flap is well known as an ideal donor site for the microsurgical breast reconstruction. The branching pattern of the DIEA was well described in the literature. In that study, DIEA has three branching patterns near the arcuate line. We describe a case in which branching variation of the DIEA before entering the posterior surface of the rectus abdominis muscle. In three cases, DIEA originated from the external iliac artery ascended as a double trunk at 1cm, 2cm, and 4cm above the originating point, respectively. In one case, DIEA ascended as a single trunk along the linea alba toward to the umbilicus until it supply overlying subcutaneous tissue. Preoperative 3D computed tomographic angiography to identify the anomaly is recommended and meticulous dissection to the originating point of DIEA is needed.