Use of the Intercostal Artery-based Latissimus Dorsi Muscle for Intrathoracic Reconstruction after Division of the Thoracodorsal Vessels and Latissimus Dorsi Muscle
Summary:. The latissimus dorsi muscle is the workhorse flap for intrathoracic reconstruction. Prior thoracotomy, which divides the latissimus dorsi muscle, limits the muscle’s intrathoracic reach. We present our experience using the distal portion of the muscle for intrathoracic reconstruction based...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer
2023-06-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000005074 |
| _version_ | 1797770609211473920 |
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| author | Sai Cherukuri, MBBS Shanda Blackmon, MD Karim Bakri, MBBS Samir Mardini, MD Steven L. Moran, MD Waleed Gibreel, MBBS |
| author_facet | Sai Cherukuri, MBBS Shanda Blackmon, MD Karim Bakri, MBBS Samir Mardini, MD Steven L. Moran, MD Waleed Gibreel, MBBS |
| author_sort | Sai Cherukuri, MBBS |
| collection | DOAJ |
| description | Summary:. The latissimus dorsi muscle is the workhorse flap for intrathoracic reconstruction. Prior thoracotomy, which divides the latissimus dorsi muscle, limits the muscle’s intrathoracic reach. We present our experience using the distal portion of the muscle for intrathoracic reconstruction based off an intercostal vessel. We also demonstrate the ability of this intercostal perforator to allow for chimeric flap elevation with a separate skin paddle, depending on the branching pattern of the intercostal vessels. This study provides a case series of three consecutive patients, treated between September 2021 and June 2022. The intrathoracic pathology addressed in these patients are bronchopleural fistula, aortoesophageal fistula, and bronchoesophageal fistula. All patients had the resolution of symptoms related to intrathoracic fistulae and did not experience recurrence. This novel pedicled muscle flap can be an additional option for patients with prior thoracotomy and avoids the morbidity which can be seen with the serratus or rectus abdominis muscle flaps. |
| first_indexed | 2024-03-12T21:25:39Z |
| format | Article |
| id | doaj.art-6fa9c1c5fce94c4592cf1c2e2b9c21bf |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-03-12T21:25:39Z |
| publishDate | 2023-06-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-6fa9c1c5fce94c4592cf1c2e2b9c21bf2023-07-28T09:28:48ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742023-06-01116e507410.1097/GOX.0000000000005074202306000-00045Use of the Intercostal Artery-based Latissimus Dorsi Muscle for Intrathoracic Reconstruction after Division of the Thoracodorsal Vessels and Latissimus Dorsi MuscleSai Cherukuri, MBBS0Shanda Blackmon, MD1Karim Bakri, MBBS2Samir Mardini, MD3Steven L. Moran, MD4Waleed Gibreel, MBBS5From the * Division of Plastic and Reconstructive Surgery, Department of Surgery, Mayo Clinic, Rochester, Minn.† Division of Thoracic Surgery, Department of Surgery, Mayo Clinic, Rochester, Minn.From the * Division of Plastic and Reconstructive Surgery, Department of Surgery, Mayo Clinic, Rochester, Minn.From the * Division of Plastic and Reconstructive Surgery, Department of Surgery, Mayo Clinic, Rochester, Minn.From the * Division of Plastic and Reconstructive Surgery, Department of Surgery, Mayo Clinic, Rochester, Minn.From the * Division of Plastic and Reconstructive Surgery, Department of Surgery, Mayo Clinic, Rochester, Minn.Summary:. The latissimus dorsi muscle is the workhorse flap for intrathoracic reconstruction. Prior thoracotomy, which divides the latissimus dorsi muscle, limits the muscle’s intrathoracic reach. We present our experience using the distal portion of the muscle for intrathoracic reconstruction based off an intercostal vessel. We also demonstrate the ability of this intercostal perforator to allow for chimeric flap elevation with a separate skin paddle, depending on the branching pattern of the intercostal vessels. This study provides a case series of three consecutive patients, treated between September 2021 and June 2022. The intrathoracic pathology addressed in these patients are bronchopleural fistula, aortoesophageal fistula, and bronchoesophageal fistula. All patients had the resolution of symptoms related to intrathoracic fistulae and did not experience recurrence. This novel pedicled muscle flap can be an additional option for patients with prior thoracotomy and avoids the morbidity which can be seen with the serratus or rectus abdominis muscle flaps.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000005074 |
| spellingShingle | Sai Cherukuri, MBBS Shanda Blackmon, MD Karim Bakri, MBBS Samir Mardini, MD Steven L. Moran, MD Waleed Gibreel, MBBS Use of the Intercostal Artery-based Latissimus Dorsi Muscle for Intrathoracic Reconstruction after Division of the Thoracodorsal Vessels and Latissimus Dorsi Muscle Plastic and Reconstructive Surgery, Global Open |
| title | Use of the Intercostal Artery-based Latissimus Dorsi Muscle for Intrathoracic Reconstruction after Division of the Thoracodorsal Vessels and Latissimus Dorsi Muscle |
| title_full | Use of the Intercostal Artery-based Latissimus Dorsi Muscle for Intrathoracic Reconstruction after Division of the Thoracodorsal Vessels and Latissimus Dorsi Muscle |
| title_fullStr | Use of the Intercostal Artery-based Latissimus Dorsi Muscle for Intrathoracic Reconstruction after Division of the Thoracodorsal Vessels and Latissimus Dorsi Muscle |
| title_full_unstemmed | Use of the Intercostal Artery-based Latissimus Dorsi Muscle for Intrathoracic Reconstruction after Division of the Thoracodorsal Vessels and Latissimus Dorsi Muscle |
| title_short | Use of the Intercostal Artery-based Latissimus Dorsi Muscle for Intrathoracic Reconstruction after Division of the Thoracodorsal Vessels and Latissimus Dorsi Muscle |
| title_sort | use of the intercostal artery based latissimus dorsi muscle for intrathoracic reconstruction after division of the thoracodorsal vessels and latissimus dorsi muscle |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000005074 |
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