Breast necrosis following left internal mammary artery harvest

A case series and a comprehensive review of the literature

Michael S Wong, James Kim, Cecilia Yeung, Steven H. Williams

Research output: Contribution to journalArticle

9 Citations (Scopus)

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 languageEnglish (US)
Pages (from-to)368-374
Number of pages7
JournalAnnals of Plastic Surgery
Volume61
Issue number4
DOIs
StatePublished - Oct 2008

Fingerprint

Mammary Arteries
Breast
Necrosis
Chronic Kidney Failure
Obesity
Calciphylaxis
Coronary Artery Bypass
Pathology
Hypertension

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 journalArticle

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