Coronary Artery Revascularization After Chest Wall Reconstruction With Rectus Abdominis Myocutaneous Flap Julio C. Vasquez, MD, Frank A. Baciewicz, MD

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Coronary Artery Revascularization After Chest Wall Reconstruction With Rectus Abdominis Myocutaneous Flap Julio C. Vasquez, MD, Frank A. Baciewicz, MD The Annals of Thoracic Surgery Volume 81, Issue 2, Pages 732-735 (February 2006) DOI: 10.1016/j.athoracsur.2004.10.044 Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Appearance of the initial chest wall reconstruction. (This photograph was taken just prior to proceeding with the coronary artery revascularization.) The Annals of Thoracic Surgery 2006 81, 732-735DOI: (10.1016/j.athoracsur.2004.10.044) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 View of the operative field. Notice the transverse rectus abdominis myocutaneous (TRAM) flap (large arrow) secured temporarily to the skin of the right chest. The TRAM pedicle (small arrow) is also visible. The right half of the sternum (asterisk) is also shown. The heart has been exposed after partial resection of the rib cage and left half of the sternum. The Annals of Thoracic Surgery 2006 81, 732-735DOI: (10.1016/j.athoracsur.2004.10.044) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Final appearance of the chest wall 3 weeks after coronary artery revascularization showing viability of the transverse rectus abdominis myocutaneous flap. The Annals of Thoracic Surgery 2006 81, 732-735DOI: (10.1016/j.athoracsur.2004.10.044) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions