Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2018 Oct 29:18:ic23.
eCollection 2018.

Utilizing the Retrograde Descending Internal Mammary Vein in DIEP Flap Anastomosis

Angie Zhang  1 , Amra Kuc  1 , Wilton Triggs  2 , Deniz Dayicioglu  2
Affiliations
Case Reports

Utilizing the Retrograde Descending Internal Mammary Vein in DIEP Flap Anastomosis

Angie Zhang et al. Eplasty. .
No abstract available

Keywords: additional venous drainage for DIEP flap; breast reconstruction; chemotherapy catheter malposition; deep inferior epigastric perforator (DIEP) flap; venous congestion.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Preoperative view with markings.
Figure 2
Figure 2
Mediport catheter within the right internal mammary vein.
Figure 3
Figure 3
Illustration of anastomosis of the SIEV to the IMV stump due to thrombosis after port removal. The additional venous anastomosis was via the DIEV to the second IMV. SIEV indicates superficial inferior epigastric vein; IMV, internal mammary vein; DIEV, deep inferior epigastric vein; IMA, internal mammary artery; and DIEA, deep inferior epigastric artery.
Figure 4
Figure 4
Postoperative view.
Figure 5
Figure 5
Three months postoperative.
See this image and copyright information in PMC

References

    1. Lhuaire M, Hivelin M, Drame M, et al. Determining the best recipient vessel site for autologous microsurgical breast reconstruction with DIEP flaps: an anatomical study. J Plast Reconstr Aesthet Surg. 2017;70(6):781–91. - PubMed
    1. Vijayasekaran A, Mohan AT, Zhu L, et al. Anastomosis of the superficial inferior epigastric vein to the internal mammary vein to augment deep inferior artery perforator flaps. Clin Plast Surg. 2017;44(2):361–9. - PubMed
    1. Galanis C, Nguyen P, Koh J, et al. Microvascular lifeboats: a stepwise approach to intraoperative venous congestion in DIEP flap breast reconstruction. Plast Reconstr Surg. 2014;134(1):20–7. - PubMed
    1. Wang L, Liu ZS, Wang CA. Malposition of central venous catheter: presentation and management. Chin Med J (Engl) 2016;129(2):227–34. - PMC - PubMed
    1. Fan WC, Wu CH, Tsai MJ, et al. Risk factors for venous port migration in a single institute in Taiwan. World J Surg Oncol. 2014;12:15. - PMC - PubMed

Publication types

LinkOut - more resources