Cristina GarusiVisnu LohsiriwatFrancesca De LorenziAndrea ManconiElvio De FioriMassimo BellomiIstituto Europeo di OncologiaMahidol University2018-09-242018-09-242010-02-18Microsurgery. Vol.30, No.2 (2010), 156-15810982752073810852-s2.0-76549124281https://repository.li.mahidol.ac.th/handle/20.500.14594/29765Precise preoperative imaging by multidetector computed tomographic (MDCT) angiography for planning of deep inferior epigastric artery perforator (DIEP) flap dissection has been reported for enormous advantages in terms of reduced operative time and minimized flap-related complications. This case report shows a particularly rare anatomical subfascia variant of deep inferior epigastric artery (DIEA) which can be preoperatively demonstrated by MDCT angiogram. Therefore, the intraoperative finding also confirms the radiologic data and results in meticulous flap harvesting during incision on anterior rectus sheath. Additionally, the authors emphasize on performing preoperative high quality imaging for DIEP intervention precisely for specific vulnerable course of subfascial plane DIEP, which is rare but tends to be at risk without foreknowing its exact course. © 2009 Wiley-Liss, Inc.Mahidol UniversityMedicineArticleSCOPUS10.1002/micr.20710