scholarly journals BREAST IMPLANT RUPTURE AS A COMPLICATION OF HEART SURGERY IN MEDIAN STERNOTOMY

2014 ◽  
Vol 6 (1) ◽  
Author(s):  
G. Nisi ◽  
M. Campana ◽  
L. Grimaldi ◽  
C. Brandi ◽  
R. Cuomo ◽  
...  
Keyword(s):  
Breast Reconstruction ◽  
Heart Surgery ◽  
Breast Implant ◽  
Open Heart Surgery ◽  
Median Sternotomy ◽  
Open Heart ◽  
Implant Rupture ◽  
Silicone Gel ◽  
Breast Implant Rupture

The authors report a case of a woman who underwent heart surgery in median sternotomy after breast reconstruction using prosthesis in 1984. After this open heart surgery in 2008, she developed an injury at right breast implant with intra and extra capsular silicone gel spread out the prosthesis.

scholarly journals Thoracic migration of silicone gel after breast implant rupture: a case report and literature review

2021 ◽  
Author(s):  
Benedetta Fanelli ◽  
Marco Marcasciano ◽  
Stefano Lovero ◽  
Luca Codolini ◽  
Donato Casella ◽  
...  
Keyword(s):  
Breast Reconstruction ◽  
Biological Membrane ◽  
Breast Implant ◽  
Granulomatous Inflammation ◽  
Breast Implants ◽  
Silicone Implants ◽  
Axillary Lymph ◽  
Implant Rupture ◽  
Silicone Gel ◽  
Breast Implant Rupture

AbstractNowadays silicone is a widespread material for medical devices. In particular, it is commonly used for implants manufacturing, for that patients undergoing breast augmentation or breast reconstruction after mastectomy. However, the use of silicone implants is not free from risks. Ruptures of silicone breast implants are uncommon, in general post-traumatic or iatrogenic, and usually related to implant’s wall weakness of unknown origin but probably due to biochemical reactions that cause wall rupture. As a consequence of a rupture, silicone gel from damaged implants may have a continuity migration to the chest wall, axillae, and upper extremities, resulting in granulomatous inflammation or siliconoma, or a lymphatic migration to axillary lymph nodes. In this regard, silicone thoracic migration is extremely rare, and nowadays a leakage is unlikely to happen with more modern cohesive silicone gel implants. Nevertheless, procedures such as thoracic surgery and thoracotomies may be responsible for accidental breast implant rupture, capsular discontinuity, and eventually intrathoracic silicone migration, especially when dealing with older generations of breast implants. We report a rare case of a 75-year-old woman presenting with pleural silicone effusion, 18 years after a right breast reconstruction for breast cancer, followed by right upper lobe resection for a lung carcinoma. A combination of muscular flap and DTI pre-pectoral breast reconstruction with biological membrane (ADM) has been used for treatment. Literature was reviewed for cases of breast implants free silicone localization in the chest cavity, focusing on previous surgeries, anamnestic relevances, and surgical management.Level of Evidence: Level V, risk/prognostic study.

Silicone Gel Breast Implant Rupture Rates: Research Issues

2002 ◽  
Vol 48 (1) ◽  
pp. 92-101 ◽  
Author(s):  
Ralph R. Cook ◽  
Steven J. Bowlin ◽  
James M. Curtis ◽  
Susan J. Hoshaw ◽  
Patti J. Klein ◽  
...  
Keyword(s):  
Breast Implant ◽  
Research Issues ◽  
Implant Rupture ◽  
Silicone Gel ◽  
Breast Implant Rupture

Cardiac Compression due to Closure of the Median Sternotomy in Open Heart Surgery

CHEST Journal ◽  
1975 ◽  
Vol 67 (1) ◽  
pp. 113-114 ◽  
Author(s):  
Mohammad Riahi ◽  
Luis A. Tomatis ◽  
Ralph J. Schlosser ◽  
Enrique Bertolozzi ◽  
Daniel W. Johnston
Keyword(s):  
Heart Surgery ◽  
Open Heart Surgery ◽  
Median Sternotomy ◽  
Open Heart ◽  
Cardiac Compression

Shur-Clens: An Agent to Remove Silicone Gel After Breast Implant Rupture

2002 ◽  
Vol 48 (2) ◽  
pp. 148-153 ◽  
Author(s):  
George J. Bitar ◽  
Diem B. Nguyen ◽  
Laura K. Knox ◽  
Mohammed I. Dahman ◽  
Raymond F. Morgan ◽  
...  
Keyword(s):  
Breast Implant ◽  
Implant Rupture ◽  
Silicone Gel ◽  
Breast Implant Rupture

scholarly journals Use of a force measuring walker to optimize recovery after median sternotomy

2021 ◽  
Vol 20 (Supplement_1) ◽  
Author(s):  
A Lapier ◽  
K Cleary
Keyword(s):  
Heart Surgery ◽  
Open Heart Surgery ◽  
Median Sternotomy ◽  
Functional Mobility ◽  
Emg Activity ◽  
Vertical Force ◽  
Open Heart ◽  
Design Elements ◽  
Feedback Training ◽  
Older Subjects

Abstract Funding Acknowledgements Type of funding sources: None. BACKGROUND Patients often need to use their arms to assist with functional activities, but after open-heart surgery, pushing with the arms is often limited to <10 lb (4.5 kg), to minimize force across the healing sternum. Restricting arm use often limits patient functional independence which can contribute to longer hospital stays and greater need for care after hospitalization. Therefore, appropriate arm use is important for return to function. Currently, no method exists to measure patient upper extremity weight bearing (UEWB) forces objectively in clinical settings. The ultimate goal was to develop a walker that provides UEWB force feedback to patients recovering from median sternotomy. This research project included three interrelated parts that sequentially built on each other. PART 1 First, I conducted a secondary data analysis comparing UEWB force and Pectoralis Major Muscle EMG during functional mobility in younger vs. older subjects (n = 65). Results showed that the mean arm force was >10 lb before feedback training during all functional mobility tasks for both groups. There were significant differences in UEWB force and EMG between groups (young vs. old) and trials (pre- vs. post-feedback training). There was significantly greater improvement (change) in the UEWB force in the older than younger subjects. We also found a significantly greater reduction in EMG activity in the older subjects than younger subjects for all tasks except during stand-to-sit. Results suggested that patients, particularly older ones, may not accurately estimate UEWB force <10 lb, and feedback training is effective for improving accuracy. This established proof-of-concept, the need for a Clinical Force Measuring (CFM) walker, and the efficacy of its use with feedback training. PART 2 Next, I completed a qualitative study to obtain critiques of a CFM walker prototype from rehabilitation professionals through structured interviews that were recorded and transcribed. I coded key statements and phrases that allowed "themes" to emerge (Table 1), which guided device revisions. PART 3 Lastly, I fabricated and tested a second CFM Walker prototype (Figure 1) based on key design elements including: 1) integrated vertical force measuring capability, 2) ergonomic handles, 3) simple visual and auditory feedback with upper limit alarms, 4) streamline, stable, and manoeuvrable frame, 5) lightweight construction, 6) minimal drag, 7) adjustable height, 8) ability to disinfect, and 9) affordable cost. CONCLUSIONS The CFM Walker could help patients recover safer and faster from open heart surgery, especially elderly adults.

Ability of Dual-Energy CT to Detect Silicone Gel Breast Implant Rupture and Nodal Silicone Spread

2019 ◽  
Vol 212 (4) ◽  
pp. 933-942 ◽  
Author(s):  
Katrina N. Glazebrook ◽  
Stefan Doerge ◽  
Shuai Leng ◽  
Tammy A. Drees ◽  
Katie N. Hunt ◽  
...  
Keyword(s):  
Breast Implant ◽  
Dual Energy ◽  
Dual Energy Ct ◽  
Implant Rupture ◽  
Silicone Gel ◽  
Breast Implant Rupture

Aorto-Innominate Vein Fistula: A Rare Complication following Open-Heart Surgery

1996 ◽  
Vol 4 (1) ◽  
pp. 54-56
Author(s):  
Lokeswara Rao Sajja ◽  
Satyanarayana Rao Pinnamaneni ◽  
Madhusudan Kandukuri Narasimha ◽  
Chinna Reddy Naresh Kumar Reddy ◽  
Benjavani Sita Ram Reddy
Keyword(s):  
Cardiopulmonary Bypass ◽  
Heart Surgery ◽  
Rare Complication ◽  
Open Heart Surgery ◽  
Median Sternotomy ◽  
Innominate Vein ◽  
Moderate Hypothermia ◽  
Open Heart

A case of aorto-innominate vein fistula following open-heart surgery is reported. This was successfully repaired through a redo median sternotomy using partial cardiopulmonary bypass and moderate hypothermia.

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