Excessive breast skin necrosis after single internal mammary artery harvesting
Abstract
There are still a lot of contradictory reports about single or bilateral, pedicled or skeletonized internal mammary artery (IMA) harvesting and its implication on sternal microcirculation and wound complications even in diabetic patients. We present the case of excessive breast skin necrosis after single IMA harvesting in a diabetic patient with necrosis progression far from the acute phase that finally has demanded for breast amputation.
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References
Wouters R, Wellens F, Vanermen H, De Geest R, Degrieck I, De Meerleer F. Sternitis and mediastinitis after coronary artery bypass grafting. Analysis of risk factors. Tex Heart Inst J 1994;21:183-8.
Carrier M, Grégoire J, Tronc F, Cartier R, Leclerc Y, Pelletier LC. Effect of internal mammary artery dissection on sternal vascularization. Ann Thorac Surg. 1992;53:115-9.
Seyfer AE, Shriver CD, Miller TR, Graeber GM. Sternal blood flow after median sternotomy and mobilization of the internal mammary arteries. Surgery 1988;104:899-904.
Knobloch K, Lichtenberg A, Pichlmaier M, Mertsching H, Krug A, Klima U, Haverich A. Microcirculation of the sternum following harvesting of the left internal mammary artery. Thorac Cardiovasc Surg. 2003;51:255-9.
Lorberboym M, Medalion B, Bder O, Lockman J, Cohen N, Schachner A, Cohen AJ. 99mTc-MDP bone SPECT for the evaluation of sternal ischaemia following internal mammary artery dissection. Nucl Med Commun. 2002;23:47-52.
Behranwala AA, Raja SG, Dunning J. Is skeletonised internal mammary harvest better than pedicled internal mammary harvest for patients undergoing coronary artery bypass grafting? Interact Cardiovasc Thorac Surg. 2005;4:577-82.
Medalion B, Katz MG, Lorberboym M, Bder O, Schachner A, Cohen AJ. Decreased sternal vascularity after internal thoracic artery harvesting resolves with time: an assessment with single photon emission computed tomography. J Thorac Cardiovasc Surg. 2002;123:508-11.
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