Bilateral Breast Reconstruction with Bilateral DIEP Flap Using One Set of Internal Mammary Artery an

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  The use of proximal and distal ends of a single set of the internal mammary artery for bilateral breast reconstruction with bilateral free flap has not been reported yet.We herein reported a case of delayed bilateral breast reconstruction.The abdominal flap deep inferior epigastric flap was split into two hemi-DIEP flaps.The right deep inferior epigastric artery (DIEA) was anastomosed to the distal end of the left intemal mammary artery.The left DIEA was anastomosed to the proximal end of the left IMA.Both flaps survived well and good aesthetic result was achieved.This method is an extra choice for bilateral breast reconstruction.Judging the feasibility and adequacy of distal end of IMA as recipient vessel is the key point to successful outcome.
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