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Professional Technical IVT

thoracodorsal vessels

Alternative recipient vessels for free flap reconstruction located in the axillary region, used when internal mammary vessels unavailable.

Full Definition

The thoracodorsal vessels, consisting of the thoracodorsal artery and vein, are located in the axillary region and serve as alternative recipient vessels for microsurgical breast reconstruction. These vessels typically have excellent caliber and flow characteristics, making them suitable for free flap anastomosis. The thoracodorsal vessels may be used when internal mammary vessels are unavailable due to previous surgery, radiation, or anatomical considerations. Access is gained through the axillary approach, often in conjunction with latissimus dorsi flap harvest or as standalone recipient vessels.

Usage

Usage note: May be abbreviated as TD vessels in surgical documentation.

In Context

  • "Given the previous radiation therapy, thoracodorsal vessels were selected as recipient vessels for the free flap." — Operative plan
  • "Doppler examination confirmed adequate flow in the thoracodorsal vessels prior to anastomosis." — Intraoperative note

Also known as

subscapular vessels

Don't confuse with

thoracoacromial vessels lateral thoracic vessels

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