Partial Breast Necrosis After Myocardial Revascularization

Ricci, Marcos Desídérío; Giribela, Aricia Helena Galvão; Munhoz, Alexandre Mendonça; Piato, José Roberto Morales; Baracat, Edmund Chada

doi:10.1590/s1807-59322007000500024

Cited by 4 publications

(5 citation statements)

References 13 publications

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“…A large breast is also an other factor which may increase rates of complications. Obesity and large breasts have been associated with increased postoperative morbidity but not with complications such as necrosis (1–3,6).…”

Section: Discussionmentioning

confidence: 99%

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Breast Necrosis Following Coronary Artery Bypass Grafting

et al. 2011

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We present a case of left breast necrosis following coronary artery bypass grafting which was misdiagnosed as a breast cancer. Breast necrosis after myocardial revascularization is an extremely rare complication of the surgical procedure using the most conventional graft which is the left internal mammary artery. The left internal mammary artery is the main blood supplying artery of the left breast.

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Section: Discussionmentioning

confidence: 99%

“…Cardiovascular disease is one of the most common causes of death among middle‐aged women. One to three women will die from cardiovascular disease, after menopause (1). Surgical procedures, such as coronary artery bypass grafting (CABG) or minimally invasive angioplasty techniques, are well established.…”

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confidence: 99%

Breast Necrosis Following Coronary Artery Bypass Grafting

et al. 2011

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“…As for the treatment, debridement, antibiotic therapy, and healing by conservative ways through granulation were sufficient in the two of the so far described cases [4, 8]. In other cases, the condition was handled by more extensive resections, through partial or total mastectomy [5, 7, 10, 11, 13], sometimes with resection of thoracic or abdominal walls [5, 7, 10].…”

Section: Discussionmentioning

confidence: 99%

Focal necrosis mimicking breast cancer following coronary bypass grafting

et al. 2017

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BackgroundBreast cancer can be diagnosed easily in most cases. However, occasionally, we are faced with some conditions that can mimic it. These may include inflammations, benign tumors, cysts, hematomas, or, more rarely, focal necrosis.Case presentationThis report presents a case of focal breast necrosis following myocardial revascularization with the left internal mammary artery, which is a very rare condition, with only few cases described in the literature. The necrosis becomes usually apparent a few days or weeks after the surgery and is often coincidental with the dehiscence of sternotomy with necrosis of wound edges. As it mostly affects the skin, it can be easily recognized. Also, our patient developed a dehisced sternotomy shortly after the surgery but there were no obvious objective changes on the breast. The condition was first dominated only by non-specific subjective symptom—pain. Later, a lump in the breast occurred, when the sternotomy had already healed. Moreover, an enlarged lymph node was palpable in the axilla. Because of non-typical symptoms, the condition was suggestive of breast cancer for a relatively long time. The patient had suffered from a very strong pain until she was treated by mastectomy with a good clinical result.ConclusionsMammary necrosis following the coronary artery bypass is rare. In most cases, it manifests on the skin shortly after the surgery concurrently with dehisced sternotomy, so it can be easily diagnosed. However, in sporadic cases, the symptoms may occur later and may mimic breast cancer. Our objective is to raise awareness of this rare condition.

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“…Ricci et al. reported a case of partial breast necrosis after harvest of internal mammary artery for cardiac revascularization . Their patient had other risk factors including diabetes, previous mammoplasty, obesity, and cigarette smoking which put her at increased risk of arterial insufficiency.…”

Section: Discussionmentioning

confidence: 99%