case_images: PMC6916620_01
case_images: Preoperative photograph. Bilateral tissue expander reconstruction 9 months after completion of right breast radiation therapy.
case_images: eplasty19e22_fig1.jpg
case_images: PMC6916620_01_eplasty19e22_fig1.jpg
case_images: F1
case_images: A 40-year-old woman with stage IIb right invasive ductal carcinoma underwent bilateral skin-sparing mastectomy and immediate subpectoral tissue expander breast reconstruction in anticipation of right breast adjuvant radiation (Fig 1). Her final result can be seen in Figure 5 over 1 year later.
case_images: Postoperative day 4 acute venous congestion of the right deep inferior epigastric perforator flap.
case_images: eplasty19e22_fig2.jpg
case_images: PMC6916620_01_eplasty19e22_fig2.jpg
case_images: F2
case_images: Upon ambulation postoperative day 4, she had recurrent venous congestion and loss of venous signal and was urgently taken to the operating room for exploration (Fig 2).
case_images: Intraoperative photograph of the right radiated mastectomy skin flap released from the deep inferior epigastric perforator flap skin paddle and resolution of venous congestion. Bilaminar wound matrix interposed between the flap and mastectomy skin. (Blue circle marks approximate the perforator location.)
case_images: eplasty19e22_fig3.jpg
case_images: PMC6916620_01_eplasty19e22_fig3.jpg
case_images: F3
case_images: The flap inset was therefore left open, and the cause of congestion was determined to be compression (Fig 3).
case_images: Recurrent venous congestion of the right deep inferior epigastric perforator flap noted 5 weeks postoperatively.
case_images: eplasty19e22_fig4.jpg
case_images: PMC6916620_01_eplasty19e22_fig4.jpg
case_images: F4
case_images: The flap completely recovered and had a normal examination until 5 weeks postoperatively when the patient presented again with acute venous congestion (Fig 4).
case_images: Final result over 1 year later.
case_images: eplasty19e22_fig5.jpg
case_images: PMC6916620_01_eplasty19e22_fig5.jpg
case_images: F5
case_images: Her final result can be seen in Figure 5 over 1 year later.