Case report| Volume 65, ISSUE 8, P1107-1110, August 2012

Accidental latissimus dorsi flap pedicle avulsion during immediate breast reconstruction: Salvage by conversion to free flap

  • A. Martano
    Department of Plastic Surgery, University of Rome “La Sapienza”, Italy

    Department of Plastic Surgery, Addenbrooke’s Hospital, Cambridge, UK
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  • C.M. Malata
    Corresponding author. Department of Plastic Surgery, Addenbrooke’s Hospital, Cambridge University Hospitals NHS Foundation Trust, Box 186, Hill Road, Cambridge CB 2QQ, UK. Tel.: +44 1223 586672; fax: +44 1223 25177.
    Department of Plastic Surgery, Addenbrooke’s Hospital, Cambridge, UK

    Cambridge Breast Unit, Addenbrooke’s Hospital, Cambridge, UK
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Published:March 05, 2012DOI:


      Pedicle damage is a rare complication of latissimus dorsi (LD) flap breast reconstruction. We report a case of accidental avulsion of the vascular pedicle of a totally autologous (extended) LD flap during immediate breast reconstruction in a patient who had previously undergone contralateral breast reconstruction with a pedicled TRAM flap based on the opposite superior epigastric vessels. The intra-operative strategy to salvage the avulsed LD flap by conversion to a free flap while not compromising the contralateral breast reconstruction is discussed.


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