Resumo

BARCA, Laura Varela et al. Post-radiation mediastinal fibrosis: a factor to take into account in cardiac surgery. Rev. Colomb. Cardiol. [online]. 2019, vol.26, n.6, pp.354-356. ISSN 0120-5633.  https://doi.org/10.1016/j.rccar.2018.06.004.

Although mediastinal radiotherapy is one of the basic treatments of malignant thoracic diseases, it is also a potential cause of short and long-term complications. A series of cases of rupture of the innominate vein during sternotomy are presented in patients with mediastinal fibrosis. The three cases described correspond to patients intervened by cardiac surgery, with a history of mediastinal radiotherapy between 15 to 30 years before the surgery, due to three different malignant diseases (Hodgkin lymphoma, thymoma, and breast cancer). In the three cases, a rupture of the innominate vein is reported; with de-insertion of its origin in the superior vena cava sue to intense mediastinal fibrosis.

Palavras-chave : Post-radiation mediastinal fibrosis; Cardiovascular surgery; Rupture of innominate vein.

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