Defect coverage at the upper thoracic aperture is a challenge that often requires interdisciplinary collaboration. When planning reconstructive surgery, defect size, depth, location, and patient’s characteristics are of utmost importance [1,2]. Complex thoracic defects like chronically infected wounds, radiation ulcers and plastic reconstruction after oncological surgery often require the use of well-vascularized, immunogenic tissue [3,4]. Thoracic perforators, vascular structures originating fr…