Salvaging breast reconstruction: profunda artery perforator flaps using thoracodorsal vessels

Teotia, S. S; Cho, M. J; Haddock, N.
Plastic and Reconstructive Surgery – Global Open: September 2018 – Volume 6 – Issue 9 – p e1837

Over the years, the choice of recipient vessels for free flap autologous breast reconstruction has shifted from the thoracodorsal to the internal mammary vessels due to ease of flap inset and predictability of anatomy. However, thoracodorsal vessels are still great recipient vessels, and can be useful, especially in the previously failed or staged autologous breast reconstruction. In this study, we present our experience using thoracodorsal or serratus vessels for profunda artery perforator flaps.