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Ann Thorac Surg 2008;86:1022-1025. doi:10.1016/j.athoracsur.2008.02.052
© 2008 The Society of Thoracic Surgeons
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Malcolm DeCamp
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Right arrow Trachea and bronchi

Case Reports

Bronchopleural Fistula Repair Using Combined Breast Parenchymal and Pectoralis Major Musculocutaneous Flap

Emily Ridgway, MDa, Malcolm DeCamp, MDb, Donald Morris, MDa,*

a Division of Plastic Surgery, Department of Surgery, beth Israel Deaconess Medical Center, Boston, Massachussetts
b Division of Thoracic Surgery, Department of Surgery, Beth Israel Deaconess Medical Center, Boston, Massachussetts

Accepted for publication February 18, 2008.

* Address correspondence to Dr Morris, Division of Plastic and Reconstructive Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, 235 Cypress St, #210, Boston, MA 02445 (Email: dmorris{at}lpsmd.com).

A technique is reported for repair of a bronchopleural fistula and obliteration of an empyema cavity using a combined breast parenchymal and expanded, musculocutaneous pectoralis major flap. An empyema after right upper lobectomy and radiation for squamous cell carcinoma developed in a 53-year-old woman. After debridement, a bronchopleural fistula was noted. Her latissimus dorsi muscle was divided during the initial thoracotomy. Local and free flaps were considered. Her breast contained the largest volume of tissue available as she weighed 80 pounds. This report illustrates the use of a tissue-expanded, combined breast and musculocutaneous pectoralis flap in the management of a difficult problem.






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