Single Breast Reconstruction with Bilateral Profunda Artery Perforator Flaps in a Vertical Fashion

Ribeiro D*, Pereira GN, Freitas H, Saraiva L and Gomes AR

Department of Plastic Surgery, Lisbon North University Hospital Center, Portugal

^*Correspondance to: Diogo Ribeiro 

 PDF  Full Text DOI: 10.25107/2474-1647.3105

Abstract

Introduction: DIEAP flap is the gold standard in autologous breast reconstruction. Other options are free flaps from the gluteus, back and proximal thigh regions. These last options have some setbacks, like the quantity of tissue available to reconstruct the missed breast. In this case report we sought to present our experience in unilateral breast reconstruction using bilateral profunda artery perforator flaps in a vertical fashion and demonstrate its usefulness in breast reconstruction when conventional techniques are not available. Case Report: A 50 years woman with a left mastectomy and several previous attempts of breast reconstruction in another institution (pedicle TRAM flap, pedicle Latissimus Dorsi flap, expanded implant and skin graft) with total flap losses. The patient was reconstructed with bilateral stacked vertical profunda artery perforator flaps. One flap was anastomosed directly to the internal mammary system and the other flap was anastomosed to the distal portion of the profunda femoral system of the first flap in a flow-through fashion. Results: The patient had a successfully breast reconstruction. No problem was seen with the flaps or the donor area. The contour of the thigh regions has been improved. Conclusion: Vertical profunda thigh perforator flap is a good solution for some cases of breast reconstruction where the primary options are not available.

Keywords

Breast reconstruction; PAP Flap; Profunda artery; Perforator flap; Microsurgery

Cite the article

Ribeiro D, Pereira GN, Freitas H, Saraiva L, Gomes AR. Single Breast Reconstruction with Bilateral Profunda Artery Perforator Flaps in a Vertical Fashion. Clin Surg. 2021; 6: 3105..