Abstract
Breast necrosis is a rare complication following coronary artery bypass grafting, as the blood supply to the breast is abundant. Internal mammary artery (IMA) harvest has been cited as a risk factor for breast necrosis following cardiac procedures. We retrospectively reviewed 3 cases of breast necrosis following IMA harvest, performed a comprehensive literature review, and noted risk factors. Obesity, macromastia, diabetes, hypertension, and end-stage renal disease were present in all cases. Two of 3 patients had pathology suggestive of calciphylaxis. Despite a rich blood supply, breast necrosis following use of the IMA for cardiac revascularization may occur in a subset of patients. Our review suggests that obese patients with macromastia and end-stage renal disease may be at increased risk for breast necrosis following IMA harvest. As the prevalence of obesity increases, we may see an increase in this previously uncommon complication.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 368-374 |
| Number of pages | 7 |
| Journal | Annals of Plastic Surgery |
| Volume | 61 |
| Issue number | 4 |
| DOIs | |
| State | Published - Oct 2008 |
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Keywords
- Breast necrosis
- Calciphylaxis
- Coronary artery bypass graft
- End-stage renal disease
- Internal mammary artery graft
- Macromastia
- Obesity
ASJC Scopus subject areas
- Surgery
Cite this
Breast necrosis following left internal mammary artery harvest : A case series and a comprehensive review of the literature. / Wong, Michael S; Kim, James; Yeung, Cecilia; Williams, Steven H.
In: Annals of Plastic Surgery, Vol. 61, No. 4, 10.2008, p. 368-374.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Breast necrosis following left internal mammary artery harvest
T2 - A case series and a comprehensive review of the literature
AU - Wong, Michael S
AU - Kim, James
AU - Yeung, Cecilia
AU - Williams, Steven H.
PY - 2008/10
Y1 - 2008/10
N2 - Breast necrosis is a rare complication following coronary artery bypass grafting, as the blood supply to the breast is abundant. Internal mammary artery (IMA) harvest has been cited as a risk factor for breast necrosis following cardiac procedures. We retrospectively reviewed 3 cases of breast necrosis following IMA harvest, performed a comprehensive literature review, and noted risk factors. Obesity, macromastia, diabetes, hypertension, and end-stage renal disease were present in all cases. Two of 3 patients had pathology suggestive of calciphylaxis. Despite a rich blood supply, breast necrosis following use of the IMA for cardiac revascularization may occur in a subset of patients. Our review suggests that obese patients with macromastia and end-stage renal disease may be at increased risk for breast necrosis following IMA harvest. As the prevalence of obesity increases, we may see an increase in this previously uncommon complication.
AB - Breast necrosis is a rare complication following coronary artery bypass grafting, as the blood supply to the breast is abundant. Internal mammary artery (IMA) harvest has been cited as a risk factor for breast necrosis following cardiac procedures. We retrospectively reviewed 3 cases of breast necrosis following IMA harvest, performed a comprehensive literature review, and noted risk factors. Obesity, macromastia, diabetes, hypertension, and end-stage renal disease were present in all cases. Two of 3 patients had pathology suggestive of calciphylaxis. Despite a rich blood supply, breast necrosis following use of the IMA for cardiac revascularization may occur in a subset of patients. Our review suggests that obese patients with macromastia and end-stage renal disease may be at increased risk for breast necrosis following IMA harvest. As the prevalence of obesity increases, we may see an increase in this previously uncommon complication.
KW - Breast necrosis
KW - Calciphylaxis
KW - Coronary artery bypass graft
KW - End-stage renal disease
KW - Internal mammary artery graft
KW - Macromastia
KW - Obesity
UR - http://www.scopus.com/inward/record.url?scp=55249090004&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=55249090004&partnerID=8YFLogxK
U2 - 10.1097/SAP.0b013e3181640851
DO - 10.1097/SAP.0b013e3181640851
M3 - Article
C2 - 18812704
AN - SCOPUS:55249090004
VL - 61
SP - 368
EP - 374
JO - Annals of Plastic Surgery
JF - Annals of Plastic Surgery
SN - 0148-7043
IS - 4
ER -