Cephalic vein: Saviour in the microsurgical reconstruction of breast and head and neck cancers
A 38-year-old female underwent left side nipple preserving mastectomy for breast cancer. The whole breast reconstruction was done with free MSTRAM flap. There were nodes along the internal mammary chain and both the IMA and IMV were not suitable for anastomosis. Hence, the DIEA was anastomosed to the acromiothoracic artery and the DIEV was anastomosed to the cephalic vein [Figure –]. The venous drainage was adequate and the flap settled well.