Case report
Bilateral Double Free-Flaps for Reconstruction of Extensive Chest Wall Defect

https://doi.org/10.1016/j.athoracsur.2011.07.092Get rights and content

A 44-year-old woman presented with ulcerating stage IV breast cancer involving the chest wall. En bloc resection of the second to seventh ribs on the right side, parts of the second to eighth ribs on the left side, the sternum, the chest wall muscles, and skin was completed with immediate reconstruction using bilateral double free flaps consisting of anterior lateral thigh and tensor fascia latae elevated on the lateral circumflex femoral system and creating recipient vessels with an arteriovenous loop.

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Comment

The progress in microsurgical reconstructions has accounted for low mortality rates in patients with complex chest wall defects [3]. It made definite defect coverage in the most complex cases after en bloc tumor resection feasible. However, most postsurgical defects can be closed with pedicled muscle, myocutaneous flaps, or pedicled perforator flaps. In every case, the requirements for chest wall reconstruction remain the same: restoration of chest wall integrity, preservation of dynamic

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