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Ann Thorac Surg 2006;81:732-735
© 2006 The Society of Thoracic Surgeons

Case report

Coronary Artery Revascularization After Chest Wall Reconstruction With Rectus Abdominis Myocutaneous Flap

Julio C. Vasquez, MD, Frank A. Baciewicz, Jr, MD *

Division of Cardiothoracic Surgery, Harper University Hospital, Wayne State University, Detroit, Michigan

Accepted for publication October 22, 2004.

* Address correspondence to Dr Baciewicz, Division of Cardiothoracic Surgery, Harper University Hospital, 3990 John R, Suite 2101, Detroit, MI 48201 (Email: fbaciewi{at}dmc.org).

The standard incision for a cardiac operation is a median sternotomy. In special situations, alternative approaches are needed. We report a 53-year-old woman who required coronary artery bypass grafting 10 days after chest wall reconstruction with a transverse rectus abdominis myocutaneous flap. We describe our technique, which allowed us to preserve the flap and resulted in good functional and aesthetic outcome.






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