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Ann Thorac Surg 2005;80:2360-2362
© 2005 The Society of Thoracic Surgeons

Case report

Repair of Right Ventricular Free Wall Defect With a De-Epithelized Pedicled Myocutaneous Latissimus Dorsi Muscle Flap

Tapio Hakala, MD, PhD a , * , Leena Berg, MD, PhD a , Ensio Berg, MD a , Kimmo Makinen, MD, PhD a , Petri Sipola, MD b

a Department of Surgery, Kuopio University Hospital, Kuopio, Finland
b Department of Clinical Radiology, Kuopio University Hospital, Kuopio, Finland

Accepted for publication July 9, 2004.

* Address correspondence to Dr Hakala, Department of Surgery, Kuopio University Hospital, PO Box 1777, FIN-70210 Kuopio, Finland (Email: tapio.hakala{at}kuh.fi).

Rupture of the right ventricle may occur because of sternal dehiscence or mediastinitis after cardiac surgery. Direct suture, polytetrafluoroethylene patch, fasciae, and muscle flaps have been used to close a right ventricular rupture. A unique occurrence of repair of a full-thickness right ventricle defect with a de-epithelized myocutaneous flap is presented. Our patient experienced a rupture of the right ventricle complicating sternal wound infection. The rupture was reconstructed with a polytetrafluoroethylene patch, but the patch needed to be removed because of infection. The defect was reconstructed with a de-epithelized myocutaneous latissimus dorsi flap. The patient indicated no signs of complication during follow-up.






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