J Reconstr Microsurg 2009; 25(3): 153-156
DOI: 10.1055/s-0028-1090606
© Thieme Medical Publishers

A Case of Latissimus Dorsi Pedicle Arising from the Lateral Thoracic Vessels

Arno R. Schleich1 , Tanya M. Oswald1 , William C. Lineaeweaver1
  • 1Department of Plastic Surgery, University of Mississippi Medical Center, Jackson, Mississippi
Further Information

Publication History

Publication Date:
16 October 2008 (online)


The thoracodorsal system represents a versatile, yet reliable system for the harvest of tissues for microsurgical transplantation. Also, the donor vessel anatomy is generally thought to be highly predictable in terms of topography and branching patterns. In this article we describe for the first time the occurrence of a branching pattern during a clinical harvest of the latissimus dorsi muscle flap, previously encountered only in cadaver dissections. We compare our intraoperative findings with published anatomical investigations and discuss the implications of this particular variation of the blood supply to the latissimus dorsi muscle for clinical practice.


Arno R Schleich, M.D. 

Department of Plastic Surgery, University of Mississippi Medical Center

2500 North State Street, Jackson, MI 39260

Email: drsramd@verizon.net