Split Latissimus Dorsi Muscle Flap Wrapping of a Graft for Infectious Aneurysm of the Proximal Descending Thoracic Aorta

DOI Web Site 参考文献4件 オープンアクセス
  • Toriyama Kazuhiro
    Department of Plastic and Reconstructive Surgery, Nagoya City University Graduate School of Medical Sciences and Medical School
  • Suda Hisao
    Department of Cardiovascular Surgery, Nagoya City University Graduate School of Medical Sciences and Medical School
  • Uchibori Takafumi
    Takasu Clinic
  • Nakai Yosuke
    Department of Cardiovascular Surgery, Nagoya City University Graduate School of Medical Sciences and Medical School

書誌事項

タイトル別名
  • A Case Report

説明

In cases of infectious thoracic aortic aneurysm in which the omentum is unavailable, the aortic graft can be wrapped with a latissimus dorsi muscle (LDM) flap. However, it is difficult to use a simple LDM flap to wrap the proximal descending thoracic aorta owing to its curved and linear form. Here we describe a case in which splitting the LDM flap into two separate hemiflaps with two vascular branches achieved full-circumference wrapping closure with the curved portion enveloped by the horizontal hemiflap and the straight portion enveloped by the vertical hemiflap. The infection was well controlled, and no anastomotic failure occurred during 18 months of follow-up. Our findings suggest that split LDM flaps may be a good alternative for covering the proximal descending thoracic aorta when the omentum is unavailable.

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