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Ann Thorac Surg 1987;44:544-545
© 1987 The Society of Thoracic Surgeons

Articles

The Infected Chest Wall Prosthesis: Management by Excision and Contralateral Transverse Rectus Abdominis Musculocutaneous Flap

Eric A. Wiebke, M.D., Harold D. McDonald, M.D., Harvey I. Pass, M.D.*

From the Thoracic Oncology Section, Surgery Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD

Accepted for publication December 29, 1986.

* Address reprint requests to Dr. Pass, Thoracic Oncology Section, Surgery Branch, National Cancer Institute, National Institutes of Health, Bldg 10, Rm 2B07, Bethesda, MD 20892

A patient with a chest wall sarcoma whose original prosthetic reconstruction became infected after a course of radiation therapy is described. After removal of the prosthesis, salvage reconstruction was performed using a transverse rectus abdominis musculocutaneous flap. Management of the infected chest wall prosthesis, with emphasis on the indications for use of the transverse rectus abdominis musculocutaneous flap, is discussed.




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