ePlasty: Vol. 17
Large Chest and Abdominal Wall Defect Reconstruction With Anterolateral Thigh Free Flap to Right Gastroepiploic Artery Anastomosis
Angie Zhang, BA,a Amra Kuc, BS,a Paul Smith, MD,b Amanda Zimmerman, MD,b Alicia Billington, MD,b Ricardo J. Gonzalezc and Deniz Dayicioglu, MDb

aMorsani College of Medicine, University of South Florida, Tampa; bDivision of Plastic Surgery, Department of Surgery, Morsani College of Medicine, University of South Florida, Tampa; and cSarcoma Department, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, USA

Correspondence: angiezhang@health.usf.edu
Keywords: anterolateral thigh free (ALT) flap, recurrent metaplastic sarcomatoid carcinoma (MSC), gastroepiploic artery anastomosis, chest and abdominal wall reconstruction, tumor resection defect


A 39-year-old woman presented with a twice-recurrent, full-thickness left chest and abdominal wall metaplastic sarcomatoid carcinoma (MSC). Two additional radical resections of the tumor left a defect measuring 30 × 40 cm. An anterolateral thigh (ALT) free flap with anastomosis to the right gastroepiploic vessels was chosen for reconstruction.