Free TRAM breast reconstruction and ipsilateral interval pedicled TRAM reconstruction for second breast in one patient.

Abstract

Autologous breast reconstruction can give excellent cosmetic results and is preferred by some women. Donor tissue can be scarce however, especially for bilateral reconstructions and/or when a large breast is needed. In addition, the decision of which donor tissue to use in unilateral reconstruction may have an impact on a subsequent reconstruction if needed. We present a case of a patient who required a large volume unilateral reconstruction, performed using a free TRAM flap, who then re-presented 10 years later with disease in the contralateral breast. For her second reconstruction, a pedicled TRAM was used from the same side as the previous free TRAM. We believe that this sequence of reconstructions using the TRAM twice on the same side has not been previously reported.