Use of a prefabricated pectoralis major muscle flap and pedicled jejunal interposition graft for salvage esophageal reconstruction after failed gastric.

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Presentation transcript:

Use of a prefabricated pectoralis major muscle flap and pedicled jejunal interposition graft for salvage esophageal reconstruction after failed gastric pull-up and colon interposition K. Robert Shen, MD, William Gerald Austen, MD, Douglas J. Mathisen, MD The Journal of Thoracic and Cardiovascular Surgery Volume 135, Issue 5, Pages 1186-1187 (May 2008) DOI: 10.1016/j.jtcvs.2007.08.079 Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Schematic drawing illustrating the completed reconstruction and steps used to create the prefabricated pectoralis major flap. A portion of the costal arch has been resected to allow the jejunum to reenter the abdomen without being stretched over the ribs. The Journal of Thoracic and Cardiovascular Surgery 2008 135, 1186-1187DOI: (10.1016/j.jtcvs.2007.08.079) Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 The patient before discharge from the hospital after the final stage of the reconstruction. The Journal of Thoracic and Cardiovascular Surgery 2008 135, 1186-1187DOI: (10.1016/j.jtcvs.2007.08.079) Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions