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Ann Thorac Surg 2009;88:2044-2046. doi:10.1016/j.athoracsur.2009.04.062
© 2009 The Society of Thoracic Surgeons

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Bryan A. Whitson
Jonathan D'Cunha
Rafael S. Andrade
Michael A. Maddaus
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Serratus Anterior Transposition Muscle Flaps for Bronchial Coverage: Technique and Functional Outcomes

Shawn S. Groth, MD, Bryan A. Whitson, MD, PhD, Jonathan D'Cunha, MD, PhD, Rafael S. Andrade, MD, George H. Landis, MD, Michael A. Maddaus, MD*

Department of Surgery, University of Minnesota, Minneapolis, Minnesota

Accepted for publication April 9, 2009.

* Address correspondence to Dr Maddaus, Department of Surgery, University of Minnesota, MMC 207, 420 Delaware St, SE, Minneapolis, MN 55455 (Email: madda001{at}umn.edu).

Because of its consistent anatomy, long vascular pedicle, malleability, low complication rate, and low donor site morbidity, we prefer serratus anterior transposition muscle flaps for prophylactic coverage of irradiated bronchi and treatment of bronchopleural fistulas. Our surgical technique is described, and our outcomes are discussed. Serratus anterior transposition muscle flaps can be performed with minimal morbidity and minimal impairment of upper extremity function.







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