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Francesco Scognamiglio
Carmine La Manna
Antonello La Rocca
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J Thorac Cardiovasc Surg 2009;138:1242-1243
© 2009 The American Association for Thoracic Surgery


Brief Technique Report

V-Y latissimus dorsi flap for coverage of anterior chest wall defects after resection of recurrent chest wall chondrosarcoma

Gaetano Rocco, MD, FRCS (Ed)a,*, Francesco Scognamiglio, MDa, Flavio Fazioli, MDb, Carmine La Manna, MDa, Antonello La Rocca, MDa, Rosanna Accardo, MDc, Adolfo Renzi, MDa, Anna De Chiara, MDb, Gerardo Botti, MDb

a Department of Thoracic Surgery and Oncology, National Cancer Institute, Pascale Foundation, Naples, Italy
b Department of Pathology and Sarcoma Team, National Cancer Institute, Pascale Foundation, Naples, Italy
c Department of Anesthesia, National Cancer Institute, Pascale Foundation, Naples, Italy

Received for publication May 23, 2008; revisions received August 3, 2008; accepted for publication August 13, 2008.

* Address for reprints: Gaetano Rocco, MD, FRCS (Ed), FECTS, Head, Department of Thoracic Surgery and Oncology, Via Semmola 81, 80131 Naples, Italy. (Email: Gaetano.Rocco@btopenworld.com).

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The choice of prosthetic materials for tissue coverage to stabilize extensive defects in the chest wall is of paramount importance to a successful outcome of reconstructive surgery. The V-Y latissimus dorsi flap has been described in the reconstruction after resection for recurrent breast cancer.1Go We report one example of such a reconstruction technique in the surgical management of a recurrent aggressive chondrosarcoma of the anterior chest wall.

Nine months earlier, a 44-year-old patient had undergone in another institution an extensive chest wall resection for a right-sided chondrosarcoma of the chest wall arising from the third and fourth costochondral junctions. The patient was referred to our . . . [Full Text of this Article]







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