Breast necrosis following coronary arterial bypass grafting in the setting of chest radiation

Iatrogenic Breast Infarct Following Coronary Artery Bypass Graft Surgery With Harvesting of Left Internal Mammary Artery

“…1 Iatrogenic breast infarct following CABG surgery (IBI-FCABG) is an increasingly recognized entity. 2-8…”

“…Our patient was truly typical of those who develop this lesion. In a review of 13 cases of IBI-FCABG, Walker et al 7 identified the comorbidities: age >50 years (100%), macromastia (62%), hypertension (62%), obesity (54%), diabetes mellitus (54%), and calciphylaxis (54%). The latter disorder, absent in our case, is characterized by intramural vascular calcifications and intimal proliferation of arteries, and is almost always related to chronic renal failure and secondary hyperparathyroidism.…”