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Eur J Cardiothorac Surg 2001;20:1040-1041
© 2001 Elsevier Science NL

Case report

Extended resection of a chest wall desmoid tumour with concomitant coronary artery bypass grafting

^a German Heart Center Munich, Department of Cardiac Surgery at the Technical University Munich, Lazarettstrasse 36, 80636 Munich, Germany
^b Department of Surgery at the Technical University Munich, Munich, Germany

Received 11 January 2001; received in revised form 27 July 2001; accepted 3 August 2001.

Corresponding author. Tel.: +49-89-1218-4111; fax: +49-89-1218-4113
e-mail: kostolny{at}dhm.mhn.de

We report on the resection of a large desmoid tumour of the anterior chest wall in a 65-year-old male patient. The patient had a coronary artery bypass operation 2 years prior to the first detection of a tumour. Because the left internal mammary artery bypass to the left anterior descending coronary artery (LAD) was embedded in the tumour mass, it had to be resected together with the tumour. A saphenous vein aorto-coronary bypass to the LAD with an off-pump technique was then performed, and the chest was reconstructed with polypropylene mesh and a latissimus dorsi musculocutaneous flap.

Key Words: Desmoid tumour • Chest wall • Coronary artery disease