title: Repetitive arterial crisis of deep inferior epigastric perforator flap after mental stress: a case report.
abstract: The authors report a case of mental stress-induced repeatedly failing microsurgical flap. A 33-year-old female patient underwent a left breast reconstruction with deep inferior epigastric perforator flap. Repetitive arterial crisis occurred postoperatively, which eventually led to flap necrosis. In this case, there was clear correlation between the arterial crisis and mental factors. Mental stress may lead to arterial crisis.
authors.affiliation: Center for Mammoplasty and Breast Reconstruction, Plastic Surgery Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, China.
authors.forename: Dali
authors.initials: D
authors.lastname: Mu
authors.forename: Jie
authors.initials: J
authors.lastname: Luan
authors.forename: Lanhua
authors.initials: L
authors.lastname: Mu
authors.forename: MinQiang
authors.initials: M
authors.lastname: Xin
mesh_terms: D000328:Adult; D001943:Breast Neoplasms / Q000532:radiotherapy / Q000601:surgery; D019074:Epigastric Arteries / Q000473:pathology / Q000637:transplantation*; D005260:Female; D005500:Follow-Up Studies; D006084:Graft Rejection / Q000209:etiology* / Q000473:pathology; D006801:Humans; D016462:Mammaplasty / Q000009:adverse effects / Q000379:methods; D015409:Mastectomy, Radical / Q000009:adverse effects / Q000379:methods; D009336:Necrosis / Q000209:etiology / Q000473:pathology; D012008:Recurrence; D012086:Reoperation / Q000379:methods; D018570:Risk Assessment; D013315:Stress, Psychological / Q000150:complications*; D013524:Surgical Flaps / Q000009:adverse effects* / Q000098:blood supply*; D017211:Treatment Failure