Pectoralis Major and Serratus Anterior Muscle Flap for Diaphragmatic Reconstruction

The reconstruction of diaphragmatic defects after chondrosarcoma resection is challenging. In dia-phragmatic reconstruction with chest wall defects, strong chest wall reconstruction and diaphragmatic flexibility are important to avoid interference with respiration. The artificial material, Gore-Tex (W. L. Gore & Associates), is used as the first choice, but it has drawbacks related to infection, exposure, and dura-bility. As an alternative method using artificial material, we present our alternative technique for diaphragmatic reconstruction using a reversed-combined pectoralis major and serratus anterior muscle flap. (C) 2022 by The Society of Thoracic Surgeons