Publication/Presentation Date

10-1-2009

Abstract

Closure of the epigastric or upper abdominal wound can be challenging even with traditional flap options. If those are unavailable due to prior surgical or anatomic constraints, a local muscle perforator flap based on the anterior intercostal artery (AICA) may be another available option if a vascularized flap is mandatory. Caution must be observed as the perforators of the AICA are diminutive, and the dissection can be tedious. Nevertheless, in 2 clinical cases, the anterior intercostal artery perforator (AICAP) flap was successfully used as an island pedicled flap to close a difficult subxiphoid wound, proving a secondary role for this donor site as a potential alternative selection.

Volume

63

Issue

4

First Page

414

Last Page

417

ISSN

1536-3708

Disciplines

Medicine and Health Sciences

PubMedID

19745715

Department(s)

Department of Surgery

Document Type

Article

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