Anterolateral Chest Reconstruction Using a Posterior Intercostal Artery Perforator-Based Latissimus Dorsi Musculocutaneous Flap.

ABSTRACT: Latissimus dorsi (LD) flaps are ideal for reconstructing deep and complex anterolateral chest defects because they provide both coverage and volume with relatively short surgery and acceptable donor-site morbidity. The LD flap is suitable for patients who have undergone lung surgery and should avoid prolonged or invasive reconstruction surgery. However, the LD main pedicle, the thoracodorsal artery (TDA), is often damaged in these patients. A hitherto poorly known alternative is an LD flap that is based on a posterior intercostal artery perforator (P-ICAP). Here, we present the case of a 65-year-old man with a postpleurectomy anterolateral chest defect involving exposed lung tissue who was planned to undergo reconstruction with an ipsilateral TDA-pedicled musculocutaneous LD flap. In preop

SUBMITTER: Spiegel G 

PROVIDER: S-EPMC11902951 | biostudies-literature | 2025 Mar

REPOSITORIES: biostudies-literature