The “thymopericardial fat flap”: A versatile flap in thoracic and cardiovascular surgery Alain Wurtz, MD, Francis Juthier, MD, PhD, Massimo Conti, MD,

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Presentation transcript:

The “thymopericardial fat flap”: A versatile flap in thoracic and cardiovascular surgery Alain Wurtz, MD, Francis Juthier, MD, PhD, Massimo Conti, MD, André Vincentelli, MD, PhD The Journal of Thoracic and Cardiovascular Surgery Volume 141, Issue 3, Pages 841-842.e1 (March 2011) DOI: 10.1016/j.jtcvs.2010.07.005 Copyright © 2011 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Anatomy and development of “thymopericardial fat flap.” Diagram showing “thymopericardial fat flap” fashioned using internal thoracic artery (and vein), freeing from thoracic wall, divided in sixth intercostal space, and divided from pericardiophrenic and musculophrenic arteries (double arrows and dotted line). The Journal of Thoracic and Cardiovascular Surgery 2011 141, 841-842.e1DOI: (10.1016/j.jtcvs.2010.07.005) Copyright © 2011 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 “Thymopericardial fat flap” mobilized as interposition between splinted aortic allograft, superior vena cava, and esophagus in setting of tracheal replacement. The Journal of Thoracic and Cardiovascular Surgery 2011 141, 841-842.e1DOI: (10.1016/j.jtcvs.2010.07.005) Copyright © 2011 The American Association for Thoracic Surgery Terms and Conditions

Operative view of “thymopericardial fat flap” mobilized through sternotomy in setting of tracheal replacement. Dotted line delineates thymic lobe and pericardial fat tissue. The Journal of Thoracic and Cardiovascular Surgery 2011 141, 841-842.e1DOI: (10.1016/j.jtcvs.2010.07.005) Copyright © 2011 The American Association for Thoracic Surgery Terms and Conditions

Postoperative chest computed tomography scan after tracheal replacement showing complete wrap around aortic allograft, including pectoral muscle flap and “thymopericardial fat flap” (TPF). Bolus injection of contrast medium demonstrated patent internal thoracic artery (ITA) and vein (ITV). The Journal of Thoracic and Cardiovascular Surgery 2011 141, 841-842.e1DOI: (10.1016/j.jtcvs.2010.07.005) Copyright © 2011 The American Association for Thoracic Surgery Terms and Conditions