Fig. 1.

Schematic diagram of case 1 and intraoperative photograph of the vascular anastomoses. A, The pASV (blue arrowhead) was harvested from the PAP flap to the inflow section of the greater saphenous vein, thereby extending the length of the pedicle vein (green arrowhead). GSV, great saphenous vein. B, The pASV graft facilitated the anastomosis to the vein of the serratus anterior branch. Green arrowheads: pedicle vein; blue arrowheads: pASV graft; yellow arrow: anastomosis between the pASV graft and a vein of the serratus anterior branch; white arrow: anastomosis between the pedicle artery and the thoracodorsal artery.