Complex posterior thoracic wall reconstruction using a

Eur J Cardiothorac Surg · Mar 2016

Case Reports

Complex posterior thoracic wall reconstruction using a crossover combined latissimus dorsi and serratus anterior free flap.

Radical resection of an extended malignant sarcoma of the chest wall requires full-thickness thoracic chest wall reconstruction. Reconstruction is tedious in the case of posteriorly located tumours, because the ipsilateral pedicled myocutaneous latissimus dorsi flap is involved and hence not usable for soft tissue coverage. ⋯ After extended resection and skeletal reconstruction, soft tissue coverage was achieved with an original contralateral free flap encompassing both latissimus dorsi and serratus anterior muscles. The flap pedicle was anastomosed to the ipsilateral thoracodorsal vessels.

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- Frédéric Bodin, Caroline Dissaux, Jean-Paul Steib, and Gilbert Massard.
- Department of Plastic Surgery, Strasbourg Academic Hospital, Strasbourg, France frederic.bodin@chru-strasbourg.fr.
- Eur J Cardiothorac Surg. 2016 Mar 1; 49 (3): 1008-9.
AbstractRadical resection of an extended malignant sarcoma of the chest wall requires full-thickness thoracic chest wall reconstruction. Reconstruction is tedious in the case of posteriorly located tumours, because the ipsilateral pedicled myocutaneous latissimus dorsi flap is involved and hence not usable for soft tissue coverage. We report an original case of a left giant dorsal chondrosarcoma originating from the 11th costovertebral joint. After extended resection and skeletal reconstruction, soft tissue coverage was achieved with an original contralateral free flap encompassing both latissimus dorsi and serratus anterior muscles. The flap pedicle was anastomosed to the ipsilateral thoracodorsal vessels. © The Author 2015. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.

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Complex posterior thoracic wall reconstruction using a crossover combined latissimus dorsi and serratus anterior free flap.

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