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Post-mastectomy radiation arteritis in a patient presenting with upper extremity claudication
Jonathan A Schwitzer1, Paige Dekker1, Arjun Kanuri1
1Department of Plastic and Reconstructive Surgery, Medstar Georgetown University Hospital, Washington, DC 20008, USA.
Radiation arteritis, a rare complication of breast cancer radiation therapy, caused subclavian to axillary artery occlusion in a patient. This vascular complication impacts future breast reconstruction choices.
Area of Science:
- Vascular Surgery
- Oncology
- Radiology
Background:
- Radiation therapy is a standard treatment for breast cancer.
- Radiation arteritis is a known but uncommon complication.
- Early detection and management are crucial.
Observation:
- A 53-year-old female developed right upper extremity claudication 4 months post-radiation for stage 3b invasive ductal carcinoma.
- Computed tomography angiography (CTA) revealed extensive arterial occlusion.
Findings:
- The CTA demonstrated occlusion from the subclavian artery origin to the axillary artery.
- This case highlights a severe manifestation of radiation-induced vascular damage.
Implications:
- Vascular complications like radiation arteritis significantly affect surgical planning.
- Breast reconstruction options may be limited or require alternative approaches.
- Multidisciplinary collaboration between oncology, vascular surgery, and plastic surgery is essential.
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