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Ann Thorac Surg 2009;88:288-291. doi:10.1016/j.athoracsur.2008.11.030
© 2009 The Society of Thoracic Surgeons

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Jianxing He
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Case Reports

Novel Method to Repair Tracheal Defect by Pectoralis Major Myocutaneous Flap

Jianxing He, MD, PhD, FACSa,b,*, Xin Xu, MDa,b, Manyin Chen, MDb,c, Shuben Li, MDa,b, Weiqiang Yin, MDa,b, Susheng Wang, MDd, Yingying Gu, MDb,e

a Division of Cardiothoracic Surgery, First Affiliated Hospital of Guangzhou Medical College, Guangzhou, China
b Guangzhou Research Institute of Respiratory Disease, Guangzhou, China State Key Laboratory of Respiratory Disease, Guangzhou, China
c Toronto General Hospital Institute, University Health Network, University of Toronto, Toronto, Ontario, Canada
d Division of Plastic Surgery, Guangzhou, Guangdong, China
e Division of Pathology, First Affiliated Hospital of Guangzhou Medical College, Guangzhou, Guangdong, China

Accepted for publication November 12, 2008.

* Address correspondence to Dr He, 151 Yuanjiang Rd. Guangzhou, Guangdong, 510120, China (Email: jianxing{at}gird.cn).

Inflammatory myofibroblastic tumor is extremely uncommon in the trachea. Surgery is recommended when airway obstruction becomes evident. The surgical technique and material used for repairing a massive tracheal defeat is a challenge for the thoracic surgeon. We present a case of repair and reconstruction of a massive defect of the thoracic trachea and right mainstem bronchus with a pectoralis major myocutaneous flap after resection of an inflammatory myofibroblastic tumor. The myocutaneous flap provides reliable material to repair and reconstruct a massive central airway defect. This novel surgical procedure may present new strategies for the treatment of extensive defects of the trachea.







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