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In addition, the available vascular pedicle is long and its large caliber provides an appropriate size match with recipient neck vessels. Central to reconstructive success is defining an arterial and venous pedicle that provides balanced per fusion to all components of the flap. Anomalous vascular anatomy presents principal challenges in reestablishing free flap perfusion. We present a case of double, right deep inferior epigastric arteries encountered during vertical rectus abdominis myocutaneous flap reconstruction of the tongue and floor of the mouth and discuss the clinical outcomes of this reconstruction.<\/jats:p>","DOI":"10.1177\/014556131309200620","type":"journal-article","created":{"date-parts":[[2019,1,9]],"date-time":"2019-01-09T15:09:04Z","timestamp":1547046544000},"page":"E34-E37","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Double Deep Inferior Epigastric Arteries Encountered during Vertical Rectus Abdominis Flap Harvest: A Case Report and Literature Review"],"prefix":"10.1177","volume":"92","author":[{"given":"Tomas K.","family":"Chung","sequence":"first","affiliation":[{"name":"From the Department of General Surgery, University of Washington, Seattle"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keith","family":"Wilson","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, University of Cincinnati, Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yash J.","family":"Patil","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, University of Cincinnati, Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2013,6,1]]},"reference":[{"key":"bibr1-014556131309200620","unstructured":"KuriloffDB, SullivanMJ. 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