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The" thymopericardial fat flap": A versatile flap in thoracic and cardiovascular surgery
A Wurtz, F Juthier, M Conti... - ... Cardiovascular Surgery, 2011 - AATS/WTSAMajor tracheal reconstructive surgery requires a flap to reinforce the suture line and prevent erosion of contiguous large vessels. Omentoplasty, myoplasty, or flaps with a blood supply arising from the branches of the internal thoracic (IT) artery such as the" pericardial fat ...
Introduction Major tracheal reconstructive surgery requires a flap to reinforce the suture line and prevent erosion of contiguous large vessels. Omentoplasty, myoplasty, or flaps with a blood supply arising from the branches of the internal thoracic (IT) artery such as the "pericardial fat graft"1,2 or the "thymus flap"3 can be used. We describe the "thymopericardial fat flap" (TPF), which includes the IT pedicle, overlying mediastinal pleura, homolateral thymic lobe, and continuous pericardial fat tissue.
In adulthood, the intrathoracic portion of the thymic lobes remains as fat and connective tissue lying on the anterosuperior pericardium. Usually, one major thymic branch per lobe comes from the IT artery.3 The pericardial fat tissue extends up to the caudal portion of the thymus and down the cardiophrenic angles, with the blood supply arising from the IT arteries (Figure 1
).
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The" thymopericardial fat flap": A versatile flap in thoracic and cardiovascular surgery |
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