The Annals of Thoracic Surgery, Vol 58, 1131-1134, Copyright © 1994 by The Society of Thoracic Surgeons
Innervated rectus abdominis myofascial flap for dynamic cardiomyoplasty
DS Wijnberg, T Ebels and PH Robinson
Department of Plastic and Reconstructive Surgery, University Hospital, Groningen, The Netherlands.
This study examined the rectus abdominis myofascial flap as an innervated
flap for dynamic cardiomyoplastic purposes. It is common to use the
latissimus dorsi to wrap or patch around or in the heart, but there is a
need for more innervated skeletal muscle for a variety of reasons. The
rectus abdominis musculature often is used for reconstructions and its
vascular reliability is well known. The segmental build-up of the rectus
abdominis myofascial flap, its direct proximity to the heart, and the
superb quality of the anterior fascia allow for more extensive
cardiomyoplastic use than with the latissimus dorsi alone. This article
describes an anthropometric cadaver study in which the methods of
mobilizing the rectus abdominis myofascial flap for cardiac purposes are
shown.