Combination of Two Long-Pedicled Myocutaneous Flaps for Closure of a Complex Contralateral Dorsal Defect Giacomo Datta, MD, Filippo Boriani, MD, Kiran.

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Combination of Two Long-Pedicled Myocutaneous Flaps for Closure of a Complex Contralateral Dorsal Defect Giacomo Datta, MD, Filippo Boriani, MD, Kiran Degano, MD, Salvatore Carlucci, MD, Pietro Maria Ferrando, MD, Giovanni Verna, MD The Annals of Thoracic Surgery Volume 87, Issue 6, Pages 1930-1933 (June 2009) DOI: 10.1016/j.athoracsur.2008.10.064 Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Large sarcoma of the right hemi-dorsum. The Annals of Thoracic Surgery 2009 87, 1930-1933DOI: (10.1016/j.athoracsur.2008.10.064) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Reconstruction of the defect with a combination of a long-pedicled latissimus dorsi flap with a trapezius myocutaneous flap from the left hemi-dorsum (not shown in picture). The Annals of Thoracic Surgery 2009 87, 1930-1933DOI: (10.1016/j.athoracsur.2008.10.064) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Postoperative result at 6-month follow-up. The Annals of Thoracic Surgery 2009 87, 1930-1933DOI: (10.1016/j.athoracsur.2008.10.064) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Elevation of the latissimus dorsi flap. (Left) Skin paddle is drawn distally on the underlying muscle. (Center) Skin incision and elevation of the anterior border of the muscle. (Right) Flap with its skin paddle and muscular pedicle harvested. The Annals of Thoracic Surgery 2009 87, 1930-1933DOI: (10.1016/j.athoracsur.2008.10.064) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

Fig 5 Elevation of the trapezius flap. (Left) Skin paddle is drawn distally on the underlying muscle (A) and the vascular pedicle is indicated (B). (Right) Elevation of the flap preserving the descending branch of the transverse cervical artery in its pedicle (C). The Annals of Thoracic Surgery 2009 87, 1930-1933DOI: (10.1016/j.athoracsur.2008.10.064) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions