Autologous breast reconstruction utilizing a perforator flap is an increasingly popular method for reducing donor site morbidity and implant-related complications. However, aberrant anatomy not readily visible on computed tomography angiography is a rare albeit real risk when undergoing perforator flap reconstruction. We present an operative case of a patient who successfully underwent a bilateral breast reconstruction sourced from a unilateral abdominal flap divided into deep superior epigastric artery and superficial circumflex iliac artery flap segments.
Angiography ; Breast* ; Epigastric Arteries* ; Female ; Humans ; Iliac Artery* ; Mammaplasty* ; Methods ; Microsurgery ; Perforator Flap ; Reconstructive Surgical Procedures ; Tissue Donors