Chest wall infarction following bilateral internal thoracic harvesting for coronary revascularization in a patient with previous aortic abdominal aneurysm surgery: A rare complication

2021 ◽  
Vol 36 (11) ◽  
pp. 4416-4418
Author(s):  
Joel Lapeze ◽  
Fabien Boucher ◽  
Fadi Farhat
Keyword(s):  
Chest Wall ◽  
Rare Complication ◽  
Coronary Revascularization ◽  
Aneurysm Surgery ◽  
Abdominal Aneurysm ◽  
Aortic Abdominal Aneurysm

scholarly journals Chest wall infarction following bilateral internal mammary harvesting for coronary revascularization in a patient with previous aortic abdominal aneurysm surgery: a rare complication.

2021 ◽  
Author(s):  
Joel Lapeze ◽  
Fabien Boucher ◽  
Fadi FARHAT
Keyword(s):  
Abdominal Wall ◽  
Rare Complication ◽  
Coronary Revascularization ◽  
Artery Bypass ◽  
Aneurysm Surgery ◽  
Abdominal Aneurysm ◽  
Aortic Abdominal Aneurysm ◽  
Epigastric Artery ◽  
Internal Mammary ◽  
Upper Abdominal

A 75 years old man with previous aortic abdominal aneurysm surgery through a transverse laparotomy underwent bilateral internal mammary artery (BIMA) to coronary artery bypass grafting (CABG). He immediately thereafter developed a severe chest and upper abdominal walls ischemia with metabolic acidosis, and finally deep sternum wound infection and upper abdominal wall necrosis. He benefitted from sternal reconstruction and vaccum assisted treatment, with delayed pectus major flap reconstruction. Chest and abdominal wall infarction following BIMA harvesting is a very rare but life-threatening complication. Caution use of BIMA should be in order in patients with inferior epigastric artery flow impairment.

Pituitary Apoplexy after Aortic Abdominal Aneurysm Surgery: a Case Report

2006 ◽  
Vol 106 (1) ◽  
pp. 77-80 ◽  
Author(s):  
G. Liberale ◽  
G. Brunirne ◽  
B. Vanderkelen ◽  
E. Dubois ◽  
E. Vandueren ◽  
...  
Keyword(s):  
Case Report ◽  
Pituitary Apoplexy ◽  
Aneurysm Surgery ◽  
Abdominal Aneurysm ◽  
Aortic Abdominal Aneurysm

Chylous Ascites as a Rare Complication After Abdominal Aortic Aneurysm Surgery

2011 ◽  
Vol 104 (5) ◽  
pp. 365-367 ◽  
Author(s):  
Naoto Fukunaga ◽  
Yu Shomura ◽  
Michihiro Nasu ◽  
Yukikatsu Okada
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Rare Complication ◽  
Chylous Ascites ◽  
Aneurysm Surgery ◽  
Abdominal Aortic ◽  
Aortic Aneurysm Surgery

Outcomes of open and endovascular repair of inflammatory abdominal aortic aneurysms

Vascular ◽  
2017 ◽  
Vol 26 (2) ◽  
pp. 203-208 ◽  
Author(s):  
África Duque Santos ◽  
Andrés Reyes Valdivia ◽  
María Asunción Romero Lozano ◽  
Enrique Aracil Sanus ◽  
Julia Ocaña Guaita ◽  
...  
Keyword(s):  
Open Surgery ◽  
Aortic Aneurysms ◽  
Endovascular Aortic Repair ◽  
Abdominal Aneurysm ◽  
Aortic Abdominal Aneurysm ◽  
Aortic Repair ◽  
Number Of Patients ◽  
Repair Group

Objective Reports on inflammatory aortic abdominal aneurysm treatment are scarce. Traditionally, open surgery has been validated as the gold standard of treatment; however, high technical skills are required. Endovascular aortic repair has been suggested as a less invasive treatment by some authors offering good results. The purpose of our study was to report our experience and outcomes in the treatment of inflammatory aortic abdominal aneurysm using both approaches. Material and methods A retrospective review and data collection of all patients treated for inflammatory aortic abdominal aneurysm between 2000 and 2015 was done in one academic center. Diagnosis of inflammatory aortic abdominal aneurysm was based on preoperative CT-scan imaging. Type of treatment, postoperative and long-term morbidity and mortality are described. Abdominal compressive symptoms (hydronephrosis) severity and relief after treatment are described. Results Thirty-four patients with intact inflammatory aortic abdominal aneurysm were included. Twenty-nine (85.3%) patients were treated by open means and the remaining five (14.7%) with endovascular aortic repair. Nearly 90% were considered high-risk patients. Median follow-up was 46 months (range 24–112). The two groups were comparable, except for the age and preoperative hydronephrosis. There was no statistical significance in blood transfusion requirements, intensive care hospitalization, 30-day and long-term mortality between the two groups. Preoperative hydronephrosis was diagnosed in four (13.8%) patients in the open surgery group and three (60%) patients in the endovascular aortic repair group. Improvement of hydronephrosis was recognized in three out of the four patients in the open repair group and two out of the three in the endovascular aortic repair group. Renal function remained stable in both groups during follow-up. Conclusions Open surgery remains a safe and valid option for the treatment of inflammatory aortic abdominal aneurysm. Although our study included a small number of patients with endovascular aortic repair treatment, results are promising. Further randomized controlled studies may be necessary to assess long-term effectiveness of endovascular aortic repair treatment in this disease.

scholarly journals Osteoradionecrosis of the Ribs following Breast Radiotherapy

2015 ◽  
Vol 8 (2) ◽  
pp. 332-338 ◽  
Author(s):  
Luke Nicholls ◽  
Peter Gorayski ◽  
Jennifer Harvey
Keyword(s):  
Chest Wall ◽  
Early Stage ◽  
Rare Complication ◽  
Breast Conserving Surgery ◽  
Radiation Sensitivity ◽  
Gene Profiling ◽  
Variable Response ◽  
Breast Radiotherapy ◽  
Whole Breast Radiotherapy ◽  
Standard Fractionation

Introduction: Osteoradionecrosis (ORN) of the chest wall is a rare complication after whole-breast radiotherapy (RT). Herein, we report a case of ORN involving the underlying ribs following adjuvant whole-breast RT using standard fractionation and conduct a review of the literature. Case Report: A previously well 43-year-old female with right-sided, early-stage, node-negative breast cancer was treated with breast-conserving surgery. She subsequently underwent adjuvant whole-breast RT receiving 50 Gy in 25 fractions over 5 weeks using standard tangential photon fields with 6 MV photons followed by an electron boost of 10 Gy in 5 fractions according to International Commission on Radiation Units (ICRU) requirements. Eleven months after RT, the patient developed right lateral chest wall pain, with magnetic resonance imaging (MRI) demonstrating two fractures involving the underlying right fifth and sixth ribs associated with fatty marrow changes in the second to sixth ribs, thus raising the possibility of ORN. Treatments including hyperbaric oxygen, pentoxifylline and vitamin E were used with symptomatic improvements. There was demonstrable resolution on follow-up MRI at 2.5 years. Conclusion: The incidence of ORN utilising modern RT techniques and standard fractionation is rare. Numerous treatments are available, with variable response rates. Emerging evidence of predictive gene profiling to estimate the risk of radiation sensitivity may assist in individualising preventative strategies to mitigate the risk of ORN.

scholarly journals Lipocalin-2 deficiency or blockade protects against aortic abdominal aneurysm development in mice

2016 ◽  
Vol 111 (3) ◽  
pp. 262-273 ◽  
Author(s):  
Carlos Tarín ◽  
Carlos Ernesto Fernandez-Garcia ◽  
Elena Burillo ◽  
Carlos Pastor-Vargas ◽  
Patricia Llamas-Granda ◽  
...  
Keyword(s):  
Lipocalin 2 ◽  
Abdominal Aneurysm ◽  
Aortic Abdominal Aneurysm ◽  
Aneurysm Development

scholarly journals Tumor Necrosis Factor‐Like Weak Inducer of Apoptosis or Fn14 Deficiency Reduce Elastase Perfusion‐Induced Aortic Abdominal Aneurysm in Mice

2014 ◽  
Vol 3 (4) ◽  
Author(s):  
Carlos Tarín ◽  
Valvanera Fernández‐Laso ◽  
Cristina Sastre ◽  
Julio Madrigal‐Matute ◽  
Mónica Gómez ◽  
...  
Keyword(s):  
Tumor Necrosis Factor ◽  
Tumor Necrosis ◽  
Abdominal Aneurysm ◽  
Aortic Abdominal Aneurysm ◽  
Necrosis Factor

Safety and feasibility of balloon-expandable stent implantation for the treatment of type I endoleaks following endovascular aortic abdominal aneurysm repair

2011 ◽  
Vol 6 (6) ◽  
pp. 740-743 ◽  
Author(s):  
Hugo Londero ◽  
Gustavo Lev ◽  
Hernan Bertoni ◽  
Esteban Mendaro ◽  
Omar Santaera ◽  
...  
Keyword(s):  
Stent Implantation ◽  
Type I ◽  
Abdominal Aneurysm ◽  
Aortic Abdominal Aneurysm ◽  
Aneurysm Repair
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