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Ann Thorac Surg 2007;84:1378-1379
© 2007 The Society of Thoracic Surgeons

Case Reports

Lymph Node Metastases in a Pedicled Pericardial Fat Pad Flap

Biruta Witte, MD*, Martin Hürtgen, MD

Department of Thoracic Surgery, Katholisches Klinikum Koblenz, Koblenz, Germany

Accepted for publication May 14, 2007.

* Address correspondence to Dr Witte, Department of Thoracic Surgery, Katholisches Klinikum Koblenz, Kardinal-Krementz-Str. 1–5, Koblenz, 56073, Germany (Email: b.witte{at}kk-koblenz.de).

Routine use of pedicled thymus or pericardial fat pad flap for prophylactic bronchial stump coverage in neoadjuvant treated non-small cell lung cancer (NSCLC) is challenged by the observation of synchronous lymph node metastases to the flap. As a consequence, we suggest local muscle flaps, and histological examination of the pericardial fat pad.




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