case_images: PMC4413498_01
case_images: A 57-year-old female Poland's syndrome patient with a Baker III capsular contracture on her previously implant based right breast reconstruction
case_images: IJPS-48-85-g001.jpg
case_images: PMC4413498_01_IJPS-48-85-g001.jpg
case_images: F1
case_images: Volume deficits at the inner and lower poles of the right breast, and at the sternum are observed in association with ipsilateral upper limb anomalies
case_images: IJPS-48-85-g002.jpg
case_images: PMC4413498_01_IJPS-48-85-g002.jpg
case_images: F2
case_images: Clinical examination revealed hypoplasia of the right breast, absence of the right pectoralis major muscle, ipsilateral upper limb anomalies and pectus excavatum chest wall deformity without cardiac or respiratory impairment [Figure 2].
case_images: Computed tomography angiography of the chest shows a 2A1 pectus excavatum chest wall deformity according to Park's classification, as well as a hypoplastic appearance and a substernal displacement of the internal mammary vessels
case_images: IJPS-48-85-g003.jpg
case_images: PMC4413498_01_IJPS-48-85-g003.jpg
case_images: F3
case_images: CT angiography imaging of the chest and abdomen showed a 2A1 pectus excavatum chest wall deformity according to Park's classification [Figure 3], as well as a hypoplastic appearance and a substernal displacement of the internal mammary vessels.
case_images: A new subglandular pocket was prepared, and the flap vessels were anastomosed to the thoracodorsal artery and vein in an end-to-end fashion
case_images: IJPS-48-85-g004.jpg
case_images: PMC4413498_01_IJPS-48-85-g004.jpg
case_images: F4
case_images: At the same time a pre-shaped DIEP flap based on the size of the contralateral breast was raised and anastomosed to the thoracodorsal vessels [Figure 4].
case_images: The patient remains free of pain and aesthetically pleased at 24 months follow-up
case_images: IJPS-48-85-g005.jpg
case_images: PMC4413498_01_IJPS-48-85-g005.jpg
case_images: F5
case_images: Reconstruction of the depressed sternum and of the inner breast pole was achieved
case_images: IJPS-48-85-g006.jpg
case_images: PMC4413498_01_IJPS-48-85-g006.jpg
case_images: F6