Figure 4

PIMOCs. (A) Patient 1. Left extended pedicle VRAM flap (1). (B) Patient 2. Right PIMOC with 6th rib (*), SSEP (2) and VRAM (1). (C) Patient 3. Right PIMOC with 6th rib osteomyocutaneous component (3) and SSEP (2). (D) Patient 5. Right PIMOC with 7th rib (*) osteomyocutaneous component (3) and VRAM (1). Internal mammary artery (blue arrow); musculophrenic and intercostal arteries (green arrow); DSEA and SSEP arteries (yellow arrow).