Fasciocutaneous Flap in Esophageal Stricture With Ventriculoperitoneal Shunt  Yong Won Seong, MD, Chang Hyun Kang, MD, PhD, Hak Chang, MD, PhD, In Kyu.

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Fasciocutaneous Flap in Esophageal Stricture With Ventriculoperitoneal Shunt  Yong Won Seong, MD, Chang Hyun Kang, MD, PhD, Hak Chang, MD, PhD, In Kyu Park, MD, PhD, Young Tae Kim, MD, PhD  The Annals of Thoracic Surgery  Volume 97, Issue 1, Pages 340-342 (January 2014) DOI: 10.1016/j.athoracsur.2013.03.114 Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig. 1 Preoperative esophagography and esophagoscopic findings. (A) Preoperative esophagography. Red arrows indicate a short segmental cervical esophageal stricture. Lumen below the stricture was patent. (B) Preoperative esophagoscopy reveals pinpoint stenosis just below the upper esophageal sphincter level. The Annals of Thoracic Surgery 2014 97, 340-342DOI: (10.1016/j.athoracsur.2013.03.114) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig. 2 (A) Resection of cervical segmental esophagus with stricture. Inset, right upper corner, shows resected segment of 3 cm length. (B) Lateral thoracic artery perforator area is rolled to a circumferential conduit in situ at the left axilla area before the harvest. The Annals of Thoracic Surgery 2014 97, 340-342DOI: (10.1016/j.athoracsur.2013.03.114) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig. 3 (A) Operative view after the anastomoses. Inset, left upper corner, shows the harvested rolled skin free flap. (B) Repaired left axilla area after harvesting. The Annals of Thoracic Surgery 2014 97, 340-342DOI: (10.1016/j.athoracsur.2013.03.114) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig. 4 Follow-up esophagoscopy 3 months after the operation. The Annals of Thoracic Surgery 2014 97, 340-342DOI: (10.1016/j.athoracsur.2013.03.114) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions