A rectus abdominis muscle flap for chest wall resection and reconstruction for malignant breast cancer relapse

Authors

  • G. Yankov Thoracic Surgery Department, UMHAT “Sv. Ivan Rilski”, Medical University – Sofia, Bulgaria Author
  • M. Alexieva Thoracic Surgery Department, UMHAT “Sv. Ivan Rilski”, Medical University – Sofia, Bulgaria Author
  • Z. Makshutova Thoracic Surgery Department, UMHAT “Sv. Ivan Rilski”, Medical University – Sofia, Bulgaria Author
  • E. Mekov Department of Respiratory Diseases, Medical University – Sofia, Bulgaria Author https://orcid.org/0000-0002-4410-6515

DOI:

https://doi.org/10.2478/AMB-2025-0017

Keywords:

musculus rectus abdominis flap, chest wall resection and reconstruction

Abstract

Reconstruction of postoperative chest wall defects with a rectus abdominis muscle flap is a relatively rare technique. We present a case of a 78-year-old woman who was operated 11 years ago for solid papillary carcinoma of the left mammary gland with ipsilateral axillary lymph node dissection, after which she underwent two operations for local relapse. Because of a new relapse, resection and reconstruction of the chest wall with polypropylene mesh and the right rectus abdominis muscle were performed.

References

Salo J, Tukiainen E. Flap reconstruction of the chest wall after oncologic resection. Curr Chall Thorac Surg 2020;2:5. doi:10.21037/ccts.2019.12.05

Sanna S, Brandolini J, Pardolesi A, et al. Materials and techniques in chest wall reconstruction: A review. Journal of Visualized Surgery. 2017;3:95. doi: 10.21037/jovs.2017.06.10

Seder CW, Rocco G. Chest wall reconstruction after resection. Journal of Thoracic Disease. 2016;8(Sppl 11):S863-S871. doi:10.21037/jtd2016.11.07

Zhang JQ, Zhang JM, Liang WQ et al. Lengthening the pedicle of rectus abdominis myocutaneous flap for repair of upper chest and neck defects. Ann R Coll Surg Engl. 2017;99:464-71. doi: 10.1308/rcsann.2017.0055

Beahm EK, Chang DW. Chest wall reconstruction and advanced disease. Seminars in plastic surgery. 2004;18(2):117-29. doi: 10.1055/s-2004-829046

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Published

30.04.2025

Issue

Vol. 52 No. Suppl 1 (2025): Acta Medica Bulgarica

Section

CASE REPORT

License

Copyright (c) 2025 G. Yankov, M. Alexieva, Z. Makshutova, E. Mekov (Author)

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

You are free to share, copy and redistribute the material in any medium or format under these terms. 

How to Cite

Yankov, G., Alexieva, M., Makshutova, Z. ., & Mekov, E. . (2025). A rectus abdominis muscle flap for chest wall resection and reconstruction for malignant breast cancer relapse. Acta Medica Bulgarica, 52(Suppl 1), 9-12. https://doi.org/10.2478/AMB-2025-0017