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Periareolar Cardiac Surgery in Patients With Breast Implants: How to Do It
Eric E Vinck1,2, Mónica M García3, Juan C Rendón1
1Department of Cardiac Surgery, Cardio VID Clinic, Pontifical Bolivarian University, Medellín, Colombia.
Innovations (Philadelphia, Pa.)
|February 5, 2025
Summary
A novel periareolar surgical approach offers a cosmetically favorable alternative for minimally invasive cardiac surgery in patients with breast implants, avoiding sternotomy.
Area of Science:
- Cardiovascular Surgery
- Plastic Surgery
- Minimally Invasive Techniques
Background:
- Minimally invasive cardiac surgery (MICS) has evolved significantly.
- Increasing patient demand for cosmetic outcomes in surgical procedures.
- The challenge of performing cardiac surgery in patients with breast implants.
Purpose of the Study:
- To present a novel periareolar surgical approach for MICS in patients with breast implants.
- To evaluate the feasibility of this technique for specific cardiac procedures.
- To address the growing need for cosmetically conscious surgical options.
Main Methods:
- A collaborative approach involving cardiac and plastic surgeons.
- Utilizing a periareolar incision, circumventing the sternum.
- Application in elective procedures such as myxoma removal, atrial septal defect closure, and mitral valve surgery.
Main Results:
- Successful application of the periareolar technique in patients with breast prostheses.
- Demonstrated feasibility for various elective cardiac surgeries.
- Avoidance of sternotomy and associated complications.
Conclusions:
- The periareolar approach is a viable and cosmetically advantageous option for MICS in patients with breast implants.
- This technique expands the possibilities of MICS for a broader patient population.
- Highlights the importance of interdisciplinary collaboration in advancing surgical options.

