title: Bilateral double free-flaps for reconstruction of extensive chest wall defect.
abstract: A 44-year-old woman presented with ulcerating stage IV breast cancer involving the chest wall. En bloc resection of the second to seventh ribs on the right side, parts of the second to eighth ribs on the left side, the sternum, the chest wall muscles, and skin was completed with immediate reconstruction using bilateral double free flaps consisting of anterior lateral thigh and tensor fascia latae elevated on the lateral circumflex femoral system and creating recipient vessels with an arteriovenous loop.
authors.affiliation: Department of Hand, Plastic and Reconstructive Surgery, BG Trauma Center Ludwigshafen, University of Heidelberg, Ludwigshafen, Germany. gazyakan@gmail.com
authors.forename: Emre
authors.initials: E
authors.lastname: Gazyakan
authors.forename: Holger
authors.initials: H
authors.lastname: Engel
authors.forename: Marcus
authors.initials: M
authors.lastname: Lehnhardt
authors.forename: Michael
authors.initials: M
authors.lastname: Pelzer
mesh_terms: D000328:Adult; D001943:Breast Neoplasms / Q000150:complications / Q000473:pathology / Q000601:surgery*; D018270:Carcinoma, Ductal, Breast / Q000150:complications / Q000473:pathology / Q000601:surgery*; D005260:Female; D058752:Free Tissue Flaps / Q000098:blood supply*; D006801:Humans; D010166:Palliative Care; D019651:Plastic Surgery Procedures / Q000379:methods*; D035441:Thoracic Wall / Q000601:surgery*; D014947:Wounds and Injuries / Q000209:etiology / Q000601:surgery*