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Ann Thorac Surg 1987;44:651-652
© 1987 The Society of Thoracic Surgeons

Articles

Repair of Right Ventricular Free Wall Defect with a Pedicled Muscle Flap

Mimis Cohen, M.D.*, Michael A. Marschall, M.D., Daniel M. Goldfaden, M.D., Norman A. Silverman, M.D.

From the Division of Plastic and Reconstructive Surgery and the Division of Cardiothoracic Surgery, University of Illinois College of Medicine at Chicago, and the Division of Plastic and Reconstructive Surgery, Cook County Hospital at Chicago, Chicago, IL

Accepted for publication March 23, 1987.

* Address reprint requests to Dr. Cohen, Division of Plastic Surgery, University of Illinois at Chicago, PO Box 6998, Chicago, IL 60680

A unique case of repair of a full-thickness cardiac defect and simultaneous reconstruction of an infected median sternotomy wound is presented. A right ventricular defect, 6 cm in diameter, was closed with a fascia lata graft and reinforced with a rectus abdominis muscle flap. The superior portion of the mediastinum was obliterated with a pectoralis major muscle flap. The patient tolerated the procedure well and remains free of cardiac symptoms seven months postoperatively, with no evidence of residual infection.




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Copyright © 1987 by The Society of Thoracic Surgeons.