Unexpected Radiation-Induced Aortic Wall Thickening Requiring Composite Graft Technique during Off-Pump Coronary Artery Bypass Grafting

Unexpected Radiation-Induced Aortic Wall Thickening Requiring Composite Graft Technique during Off-Pump Coronary Artery Bypass Grafting

Mediastinal radiation is commonly used to treat Hodgkin’s and non-Hodgkin’s lymphoma, lung and breast cancer. Cardiac complications after radiation therapy are well described, although rare. A large spectrum of injuries can occur, causing long term morbidity among survivors. We describe a case of po...

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Main Authors: Paola Redaelli, Amando Gamba, Antonello Stefano Martino, Michele Triggiani
Format: Article
Language:English
Published: Hindawi Limited 2017-01-01
Series:Case Reports in Surgery
Online Access:http://dx.doi.org/10.1155/2017/3831749
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spelling doaj-2764549b9d3a491e81c9e7b60238ed0a2020-11-25T00:14:45ZengHindawi LimitedCase Reports in Surgery2090-69002090-69192017-01-01201710.1155/2017/38317493831749Unexpected Radiation-Induced Aortic Wall Thickening Requiring Composite Graft Technique during Off-Pump Coronary Artery Bypass GraftingPaola Redaelli0Amando Gamba1Antonello Stefano Martino2Michele Triggiani3Cardiovascular Department, Cardiac Surgery Unit, “A. Manzoni” Hospital, Lecco, ItalyCardiovascular Department, Cardiac Surgery Unit, “A. Manzoni” Hospital, Lecco, ItalyCardiovascular Department, Cardiac Surgery Unit, “A. Manzoni” Hospital, Lecco, ItalyCardiovascular Department, Cardiac Surgery Unit, “A. Manzoni” Hospital, Lecco, ItalyMediastinal radiation is commonly used to treat Hodgkin’s and non-Hodgkin’s lymphoma, lung and breast cancer. Cardiac complications after radiation therapy are well described, although rare. A large spectrum of injuries can occur, causing long term morbidity among survivors. We describe a case of post-actinic ascending aortic wall thickening that prevented saphenous vein proximal anastomosis and was successfully managed with aortic no-touch off-pump coronary artery bypass grafting (OPCAB), 25 years after radiation therapy for Hodgkin’s lymphoma.http://dx.doi.org/10.1155/2017/3831749
collection DOAJ
language English
format Article
sources DOAJ
author Paola Redaelli
Amando Gamba
Antonello Stefano Martino
Michele Triggiani
spellingShingle Paola Redaelli
Amando Gamba
Antonello Stefano Martino
Michele Triggiani
Unexpected Radiation-Induced Aortic Wall Thickening Requiring Composite Graft Technique during Off-Pump Coronary Artery Bypass Grafting
Case Reports in Surgery
author_facet Paola Redaelli
Amando Gamba
Antonello Stefano Martino
Michele Triggiani
author_sort Paola Redaelli
title Unexpected Radiation-Induced Aortic Wall Thickening Requiring Composite Graft Technique during Off-Pump Coronary Artery Bypass Grafting
title_short Unexpected Radiation-Induced Aortic Wall Thickening Requiring Composite Graft Technique during Off-Pump Coronary Artery Bypass Grafting
title_full Unexpected Radiation-Induced Aortic Wall Thickening Requiring Composite Graft Technique during Off-Pump Coronary Artery Bypass Grafting
title_fullStr Unexpected Radiation-Induced Aortic Wall Thickening Requiring Composite Graft Technique during Off-Pump Coronary Artery Bypass Grafting
title_full_unstemmed Unexpected Radiation-Induced Aortic Wall Thickening Requiring Composite Graft Technique during Off-Pump Coronary Artery Bypass Grafting
title_sort unexpected radiation-induced aortic wall thickening requiring composite graft technique during off-pump coronary artery bypass grafting
publisher Hindawi Limited
series Case Reports in Surgery
issn 2090-6900
2090-6919
publishDate 2017-01-01
description Mediastinal radiation is commonly used to treat Hodgkin’s and non-Hodgkin’s lymphoma, lung and breast cancer. Cardiac complications after radiation therapy are well described, although rare. A large spectrum of injuries can occur, causing long term morbidity among survivors. We describe a case of post-actinic ascending aortic wall thickening that prevented saphenous vein proximal anastomosis and was successfully managed with aortic no-touch off-pump coronary artery bypass grafting (OPCAB), 25 years after radiation therapy for Hodgkin’s lymphoma.
url http://dx.doi.org/10.1155/2017/3831749
work_keys_str_mv AT paolaredaelli unexpectedradiationinducedaorticwallthickeningrequiringcompositegrafttechniqueduringoffpumpcoronaryarterybypassgrafting
AT amandogamba unexpectedradiationinducedaorticwallthickeningrequiringcompositegrafttechniqueduringoffpumpcoronaryarterybypassgrafting
AT antonellostefanomartino unexpectedradiationinducedaorticwallthickeningrequiringcompositegrafttechniqueduringoffpumpcoronaryarterybypassgrafting
AT micheletriggiani unexpectedradiationinducedaorticwallthickeningrequiringcompositegrafttechniqueduringoffpumpcoronaryarterybypassgrafting
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