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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 on theme: "Use of a prefabricated pectoralis major muscle flap and pedicled jejunal interposition graft for salvage esophageal reconstruction after failed gastric."— Presentation transcript:

1 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 (May 2008) DOI: /j.jtcvs Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions

2 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  , DOI: ( /j.jtcvs ) Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions

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


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