The free serratus anterior artery perforator flap-A case report and anatomic study

Seong Oh Park, Hak Chang, Nobuaki Imanishi

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

We report a reconstructive case using a free serratus anterior artery perforator flap and an anatomic study. A 50-year-old man with upper esophageal sphincter stricture underwent segmental cervical esophageal resection. The size of the defect was approximately 5.5 cm. We then performed esophageal reconstruction using the free serratus anterior artery perforator flap. Esophagography performed on postoperative day 7 revealed no definite leakage and a viable anastomosis site with wide patency. No complications developed during the long-term follow-up period of 3 years. We reviewed the literature and performed an anatomic study using four fresh cadavers. We performed an angiographic study using two specimens and dissection of this perforator using other two specimens. We found that a direct connection existed between the serratus anterior artery and intercostal perforator to the skin in two of eight chests. The connection was located at the 4th intercostal space in the left chest of one cadaver and at the 6th/7th intercostal space in the left chest of the other cadaver. The free serratus anterior artery perforator flap is a new flap that could be considered for use during the elevation of a perforator flap in the lateral chest area, and especially in the area overlying the serratus anterior muscle.

Original languageEnglish
JournalMicrosurgery
DOIs
Publication statusAccepted/In press - 2016

Fingerprint

Perforator Flap
Thorax
Arteries
Cadaver
Upper Esophageal Sphincter
Esophageal Stenosis
Dissection
Muscles
Skin

ASJC Scopus subject areas

  • Surgery

Cite this

The free serratus anterior artery perforator flap-A case report and anatomic study. / Park, Seong Oh; Chang, Hak; Imanishi, Nobuaki.

In: Microsurgery, 2016.

Research output: Contribution to journalArticle

@article{76e32c95e0594c638e0d08059b9f15da,
title = "The free serratus anterior artery perforator flap-A case report and anatomic study",
abstract = "We report a reconstructive case using a free serratus anterior artery perforator flap and an anatomic study. A 50-year-old man with upper esophageal sphincter stricture underwent segmental cervical esophageal resection. The size of the defect was approximately 5.5 cm. We then performed esophageal reconstruction using the free serratus anterior artery perforator flap. Esophagography performed on postoperative day 7 revealed no definite leakage and a viable anastomosis site with wide patency. No complications developed during the long-term follow-up period of 3 years. We reviewed the literature and performed an anatomic study using four fresh cadavers. We performed an angiographic study using two specimens and dissection of this perforator using other two specimens. We found that a direct connection existed between the serratus anterior artery and intercostal perforator to the skin in two of eight chests. The connection was located at the 4th intercostal space in the left chest of one cadaver and at the 6th/7th intercostal space in the left chest of the other cadaver. The free serratus anterior artery perforator flap is a new flap that could be considered for use during the elevation of a perforator flap in the lateral chest area, and especially in the area overlying the serratus anterior muscle.",
author = "Park, {Seong Oh} and Hak Chang and Nobuaki Imanishi",
year = "2016",
doi = "10.1002/micr.30038",
language = "English",
journal = "Microsurgery",
issn = "0738-1085",
publisher = "Wiley-Liss Inc.",

}

TY - JOUR

T1 - The free serratus anterior artery perforator flap-A case report and anatomic study

AU - Park, Seong Oh

AU - Chang, Hak

AU - Imanishi, Nobuaki

PY - 2016

Y1 - 2016

N2 - We report a reconstructive case using a free serratus anterior artery perforator flap and an anatomic study. A 50-year-old man with upper esophageal sphincter stricture underwent segmental cervical esophageal resection. The size of the defect was approximately 5.5 cm. We then performed esophageal reconstruction using the free serratus anterior artery perforator flap. Esophagography performed on postoperative day 7 revealed no definite leakage and a viable anastomosis site with wide patency. No complications developed during the long-term follow-up period of 3 years. We reviewed the literature and performed an anatomic study using four fresh cadavers. We performed an angiographic study using two specimens and dissection of this perforator using other two specimens. We found that a direct connection existed between the serratus anterior artery and intercostal perforator to the skin in two of eight chests. The connection was located at the 4th intercostal space in the left chest of one cadaver and at the 6th/7th intercostal space in the left chest of the other cadaver. The free serratus anterior artery perforator flap is a new flap that could be considered for use during the elevation of a perforator flap in the lateral chest area, and especially in the area overlying the serratus anterior muscle.

AB - We report a reconstructive case using a free serratus anterior artery perforator flap and an anatomic study. A 50-year-old man with upper esophageal sphincter stricture underwent segmental cervical esophageal resection. The size of the defect was approximately 5.5 cm. We then performed esophageal reconstruction using the free serratus anterior artery perforator flap. Esophagography performed on postoperative day 7 revealed no definite leakage and a viable anastomosis site with wide patency. No complications developed during the long-term follow-up period of 3 years. We reviewed the literature and performed an anatomic study using four fresh cadavers. We performed an angiographic study using two specimens and dissection of this perforator using other two specimens. We found that a direct connection existed between the serratus anterior artery and intercostal perforator to the skin in two of eight chests. The connection was located at the 4th intercostal space in the left chest of one cadaver and at the 6th/7th intercostal space in the left chest of the other cadaver. The free serratus anterior artery perforator flap is a new flap that could be considered for use during the elevation of a perforator flap in the lateral chest area, and especially in the area overlying the serratus anterior muscle.

UR - http://www.scopus.com/inward/record.url?scp=84959183262&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84959183262&partnerID=8YFLogxK

U2 - 10.1002/micr.30038

DO - 10.1002/micr.30038

M3 - Article

AN - SCOPUS:84959183262

JO - Microsurgery

JF - Microsurgery

SN - 0738-1085

ER -