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Hideki Itano
Hiroshi Date
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J Thorac Cardiovasc Surg 2006;132:e13-e14
© 2006 The American Association for Thoracic Surgery

Brief Communication

Chest wall reconstruction with perforator flaps after wide full-thickness resection

Hideki Itano, MD a , * , Akio Andou, MD a , Hiroshi Date, MD a , Isao Koshima, MD b , Nobuyoshi Shimizu, MD a

a Department of Cancer and Thoracic Surgery, Okayama University Graduate School of Medicine and Dentistry, Okayama, Japan
b Department of Plastic and Reconstructive Surgery, Okayama University Graduate School of Medicine and Dentistry, Okayama, Japan

Received for publication March 3, 2006; accepted for publication March 15, 2006.

* Address for reprints: Hideki Itano, MD, Section of Thoracic Surgery, Kure Kyosai Hospital, 2-3-28 Nishi-chuo, Kure City, Hiroshima 737-8505, Japan (Email: itano_h@ybb.ne.jp).

The first 20% of the full text of this article appears below.

Pioneering work by Koshima and colleagues 1 Go and Kroll and Rosenfield 2 Go in the late 1980s introduced perforator flaps, a new type of surgical flap based on musculocutaneous perforator arteries with exclusion of the passive muscle carrier. Perforator flaps combine the reliable blood supply of musculocutaneous flaps with the reduced donor site morbidity of a skin flap. We report the successful reconstruction of a wide chest wall defect using perforator flaps.

Clinical Summary

A 68-year-old man had a progressively enlarging left infrascapular desmoid tumor associated with left shoulder pain over the past 12 months. A hard, multinodular mass measuring 10 x 11 x 5 cm was noted on his left back, and invasion to the ribs, latissimus dorsi muscle, and skin was demonstrated. Surgical intervention was performed on September 22, 2000. The chest wall resection with the 3-cm surgical margin included parts of the sixth, seventh, eighth, and . . . [Full Text of this Article]






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