Reconstruction of the hemidiaphragm and hemipericardium using combined reversed latissimus dorsi and serratus anterior muscle flaps.

We used autologous tissue for the reconstruction of intrathoracic structures after extrapleural pneumonectomy in six patients. The resected areas of the hemidiaphragm and hemipericardium were reconstructed using combined reversed latissimus dorsi and serratus anterior muscle flaps. Based on our results, we conclude that the combined reversed latissimus dorsi and serratus anterior muscle flaps are broad enough to cover any defect within the hemithorax. Thus, we think that this technique is the best choice for multisite reconstruction after extrapleural pneumonectomy.