Bronchopleural Fistula Repair Using Combined Breast Parenchymal and Pectoralis Major Musculocutaneous Flap

Emily Ridgway, Malcolm DeCamp, Donald Morris*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

5 Scopus citations

Abstract

A technique is reported for repair of a bronchopleural fistula and obliteration of an empyema cavity using a combined breast parenchymal and expanded, musculocutaneous pectoralis major flap. An empyema after right upper lobectomy and radiation for squamous cell carcinoma developed in a 53-year-old woman. After debridement, a bronchopleural fistula was noted. Her latissimus dorsi muscle was divided during the initial thoracotomy. Local and free flaps were considered. Her breast contained the largest volume of tissue available as she weighed 80 pounds. This report illustrates the use of a tissue-expanded, combined breast and musculocutaneous pectoralis flap in the management of a difficult problem.

Original languageEnglish (US)
Pages (from-to)1022-1025
Number of pages4
JournalAnnals of Thoracic Surgery
Volume86
Issue number3
DOIs
StatePublished - Sep 1 2008

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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