scholarly journals BREAST IMPLANT RUPTURE AS A COMPLICATION OF HEART SURGERY IN MEDIAN STERNOTOMY

2014 ◽  
Vol 6 (1) ◽  
Author(s):  
G. Nisi ◽  
M. Campana ◽  
L. Grimaldi ◽  
C. Brandi ◽  
R. Cuomo ◽  
...  

The authors report a case of a woman who underwent heart surgery in median sternotomy after breast reconstruction using prosthesis in 1984. After this open heart surgery in 2008, she developed an injury at right breast implant with intra and extra capsular silicone gel spread out the prosthesis.

Author(s):  
Benedetta Fanelli ◽  
Marco Marcasciano ◽  
Stefano Lovero ◽  
Luca Codolini ◽  
Donato Casella ◽  
...  

AbstractNowadays silicone is a widespread material for medical devices. In particular, it is commonly used for implants manufacturing, for that patients undergoing breast augmentation or breast reconstruction after mastectomy. However, the use of silicone implants is not free from risks. Ruptures of silicone breast implants are uncommon, in general post-traumatic or iatrogenic, and usually related to implant’s wall weakness of unknown origin but probably due to biochemical reactions that cause wall rupture. As a consequence of a rupture, silicone gel from damaged implants may have a continuity migration to the chest wall, axillae, and upper extremities, resulting in granulomatous inflammation or siliconoma, or a lymphatic migration to axillary lymph nodes. In this regard, silicone thoracic migration is extremely rare, and nowadays a leakage is unlikely to happen with more modern cohesive silicone gel implants. Nevertheless, procedures such as thoracic surgery and thoracotomies may be responsible for accidental breast implant rupture, capsular discontinuity, and eventually intrathoracic silicone migration, especially when dealing with older generations of breast implants. We report a rare case of a 75-year-old woman presenting with pleural silicone effusion, 18 years after a right breast reconstruction for breast cancer, followed by right upper lobe resection for a lung carcinoma. A combination of muscular flap and DTI pre-pectoral breast reconstruction with biological membrane (ADM) has been used for treatment. Literature was reviewed for cases of breast implants free silicone localization in the chest cavity, focusing on previous surgeries, anamnestic relevances, and surgical management.Level of Evidence: Level V, risk/prognostic study.


2002 ◽  
Vol 48 (1) ◽  
pp. 92-101 ◽  
Author(s):  
Ralph R. Cook ◽  
Steven J. Bowlin ◽  
James M. Curtis ◽  
Susan J. Hoshaw ◽  
Patti J. Klein ◽  
...  

CHEST Journal ◽  
1975 ◽  
Vol 67 (1) ◽  
pp. 113-114 ◽  
Author(s):  
Mohammad Riahi ◽  
Luis A. Tomatis ◽  
Ralph J. Schlosser ◽  
Enrique Bertolozzi ◽  
Daniel W. Johnston

2002 ◽  
Vol 48 (2) ◽  
pp. 148-153 ◽  
Author(s):  
George J. Bitar ◽  
Diem B. Nguyen ◽  
Laura K. Knox ◽  
Mohammed I. Dahman ◽  
Raymond F. Morgan ◽  
...  

2019 ◽  
Vol 212 (4) ◽  
pp. 933-942 ◽  
Author(s):  
Katrina N. Glazebrook ◽  
Stefan Doerge ◽  
Shuai Leng ◽  
Tammy A. Drees ◽  
Katie N. Hunt ◽  
...  

1996 ◽  
Vol 4 (1) ◽  
pp. 54-56
Author(s):  
Lokeswara Rao Sajja ◽  
Satyanarayana Rao Pinnamaneni ◽  
Madhusudan Kandukuri Narasimha ◽  
Chinna Reddy Naresh Kumar Reddy ◽  
Benjavani Sita Ram Reddy

A case of aorto-innominate vein fistula following open-heart surgery is reported. This was successfully repaired through a redo median sternotomy using partial cardiopulmonary bypass and moderate hypothermia.


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