Chest wall reconstruction with a lateral thoracic artery perforator propeller flap for a radiation ulcer on the anterior chest.

A lateral thoracic artery perforator propeller flap is advantageous because it does not require microvascular anastomosis, only rarely involves donor-site morbidity and provides sufficient blood flow. Moreover, by rotating the flap, remote tissues with less radiation-induced damage can be used at the site of the defect. In this article, we report the use of a lateral thoracic artery perforator propeller flap to treat a radiation ulcer.