Repetitive arterial crisis of deep inferior epigastric perforator flap after mental stress: a case report

Dali Mu; Jie Luan; Lanhua Mu; MinQiang Xin

doi:10.1055/s-0031-1278711

Repetitive arterial crisis of deep inferior epigastric perforator flap after mental stress: a case report

J Reconstr Microsurg. 2011 Jul;27(6):337-42. doi: 10.1055/s-0031-1278711. Epub 2011 Jun 8.

Authors

Dali Mu¹, Jie Luan, Lanhua Mu, MinQiang Xin

Affiliation

¹ Center for Mammoplasty and Breast Reconstruction, Plastic Surgery Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, China.

PMID: 21656464
DOI: 10.1055/s-0031-1278711

Abstract

The authors report a case of mental stress-induced repeatedly failing microsurgical flap. A 33-year-old female patient underwent a left breast reconstruction with deep inferior epigastric perforator flap. Repetitive arterial crisis occurred postoperatively, which eventually led to flap necrosis. In this case, there was clear correlation between the arterial crisis and mental factors. Mental stress may lead to arterial crisis.

Publication types

Case Reports

MeSH terms

Adult
Breast Neoplasms / radiotherapy
Breast Neoplasms / surgery
Epigastric Arteries / pathology
Epigastric Arteries / transplantation*
Female
Follow-Up Studies
Graft Rejection / etiology*
Graft Rejection / pathology
Humans
Mammaplasty / adverse effects
Mammaplasty / methods
Mastectomy, Radical / adverse effects
Mastectomy, Radical / methods
Necrosis / etiology
Necrosis / pathology
Recurrence
Reoperation / methods
Risk Assessment
Stress, Psychological / complications*
Surgical Flaps / adverse effects*
Surgical Flaps / blood supply*
Treatment Failure