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Chest wall infarction following bilateral internal mammary harvesting for coronary revascularization in a patient with previous aortic abdominal aneurysm surgery: a rare complication.
  • Joel Lapeze,
  • Fabien Boucher,
  • Fadi FARHAT
Joel Lapeze
Infirmerie Protestante de Lyon
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Fabien Boucher
Hopital de la Croix-Rousse
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Fadi FARHAT
Hopital Cardio-vasculaire et Pneumologique Louis Pradel
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Abstract

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.

Peer review status:ACCEPTED

07 Apr 2021Submitted to Journal of Cardiac Surgery
08 Apr 2021Submission Checks Completed
08 Apr 2021Assigned to Editor
19 Apr 2021Review(s) Completed, Editorial Evaluation Pending
20 Apr 2021Editorial Decision: Revise Major
13 May 20211st Revision Received
13 May 2021Submission Checks Completed
13 May 2021Assigned to Editor
23 May 2021Review(s) Completed, Editorial Evaluation Pending
24 May 2021Editorial Decision: Accept