Abstract
The use of extrathoracic muscles for intrathoracic transposition of healthy tissues for correction of intrathoracic pathology has many precedents, The lower transverse rectus abdominis musculocutaneous flap as elevated in a manner identical to that more commonly used for breast reconstruction may also serve that role especially for basilar thoracic defects if more traditional muscle flap options are unavailable. A unique case of intrathoracic transfer of a lower transverse rectus abdominis musculocutaneous flap for obliteration of a chronic empyema cavity is presented.

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