Breast Reconstruction Using the Muscle Sparing Lattisimus Dorsi Flap with Alloplastic Devices

  • Kenneth L. Fan
  • Hatcher G. Cox
  • Cara K. Black
  • James Economides
  • David H. SongEmail author


The subscapular artery system is the reconstructive warehouse of the back. The thoracodorsal artery, a branch of the subscapular artery, provides pedicled flaps with a wide range of applications, including breast reconstruction [1], upper extremity and trunk reconstruction [2], and physiologic lymphedema operations. With microvascular anastomosis, it can provide a myocutaneous free flap [4] or a chimeric flap for bony and cutaneous defects [5]


Breast reconstruction Autologous reconstruction Latissimus dorsi flap TDAP Flap Thoracodorsal artery perforator flap Muscle sparing 



Dr. Song receives royalties from Elsevier for Plastic Surgery 3e/4e and Biomet Microfixation for Sternalock. The other authors have no other disclosures.


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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Kenneth L. Fan
    • 1
  • Hatcher G. Cox
    • 1
  • Cara K. Black
    • 2
  • James Economides
    • 1
  • David H. Song
    • 1
    Email author
  1. 1.Department of Plastic SurgeryMedStar Georgetown University HospitalWashington, DCUSA
  2. 2.School of MedicineGeorgetown UniversityWashington, DCUSA

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