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. 2019 Aug;9(Suppl 1):S131–S142. doi: 10.21037/cdt.2018.10.03

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2019 Cardiovascular Diagnosis and Therapy. All rights reserved.

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Right deep inferior epigastric artery was injured during prior surgery and is occluded. Preoperative MRI was able to screen this and avoid an unnecessary surgery which would have led to flap failure. Preoperative images also screen for metastasis. In this case surgery is deferred and instead treatment for metastasis (chemotherapy) is started. (A) Right DIEA is completely obliterated (arrowheads) in a patient with prior surgery. Compare with patent DIEA on the left (arrow); (B) T2 intermediate intensity lesions in liver (arrows) concerning for metastasis in a patient with breast cancer. DIEA, deep inferior epigastric artery.