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[Two cases of coronary artery bypass grafting following radical mastectomy using bilateral internal thoracic arterial
K Yoshida1, H Ohshima, F Murakami
1Division of Cardiovascular Surgery, Owari Prefectural Hospital, Aichi, Japan.
Insights
This study explored using internal thoracic arterial grafts for coronary artery bypass grafting after radical mastectomy. The method proved successful in two patients, showing good graft patency and no complications.
Area of Science:
- Cardiovascular Surgery
- Thoracic Surgery
Background:
- Radical mastectomy can present challenges for subsequent cardiac procedures.
- Internal thoracic arteries are commonly used for coronary artery bypass grafting (CABG).
Observation:
- Two patients, aged 68 and 71, underwent CABG after radical mastectomy.
- Bilateral internal thoracic arterial grafts were utilized in both cases.
- Dissection of the arterial pedicles was feasible, with adequate free flow observed.
Findings:
- The internal thoracic arterial grafts demonstrated good patency post-surgery.
- Neither patient experienced postoperative complications.
- The surgical approach was technically successful in both reported cases.
Implications:
- Utilizing internal thoracic arterial grafts is a viable option for CABG post-mastectomy.
- This technique may offer a safe and effective revascularization strategy in select patients.
- Further research could validate this approach in a larger cohort.
Abstract:
We report two cases of coronary artery bypass grafting following radical mastectomy using bilateral internal thoracic arterial grafts. One was a 68-year-old woman with angina pectoris, and the other was a 71-year-old woman with old myocardial infarction. Dissection of the internal thoracic arterial pedicles from the chest wall was not so difficult in both cases. The pedicles had good patency and each free flow of them was enough. They had no postoperative complications. It may be a useful method to use the internal thoracic arterial grafts for a case of coronary artery bypass grafting after radical mastectomy.