Thoracodorsal Composite Vascular Interposition Graft for Contralateral Stacked Lumbar Artery Perforator Flap Breast Reconstruction
Document Type
Article
Publication Date
6-1-2026
Publication Title
Plastic and Reconstructive Surgery Global Open
Abstract
Summary: – Alternative breast reconstruction techniques are needed when abdominally based breast reconstruction is unavailable or has insufficient volume. Secondary donor sites, such as the lumbar artery perforator flap, have gained popularity in this select patient population. Traditionally, this technique requires vascular interposition grafting to the internal mammary vessels due to the difficult dissection near the transverse processes, with an increased complication profile leading to a short pedicle length. The deep inferior epigastric vessels are most commonly used as an interposition graft in these cases; however, this graft may be unavailable and requires an additional donor site, resulting in an additional scar with increased donor site morbidity. Here, we present a successful case and indications for using the thoracodorsal composite vascular interposition graft for contralateral stacked lumbar artery perforator flap breast reconstruction.
PubMed ID
42232888
Volume
14
Issue
6
Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-No Derivative Works 4.0 International License.
Recommended Citation
Guidry, Richard F.; Melancon, Devin M.; Delatte, Stephen J.; and St. Hilaire, Hugo, "Thoracodorsal Composite Vascular Interposition Graft for Contralateral Stacked Lumbar Artery Perforator Flap Breast Reconstruction" (2026). School of Medicine Faculty Publications. 4872.
https://digitalscholar.lsuhsc.edu/som_facpubs/4872
10.1097/GOX.0000000000007806