TY - JOUR
T1 - Occult Internal Mammary Artery Neurofibromatosis
T2 - A Case for Caution in Coronary Revascularization
AU - Boukovalas, Stefanos
AU - Boukovala, Myrto
AU - Roughneen, Patrick T.
AU - Qiu, Suimmin
AU - Al-Dossari, Ghannam A.
N1 - Publisher Copyright:
© 2017 The Society of Thoracic Surgeons
PY - 2017/4/1
Y1 - 2017/4/1
N2 - Intrathoracic neurofibromas are relatively uncommon in patients with neurofibromatosis. They are usually asymptomatic and may be discovered incidentally. We present the case of a 51-year-old, African American man with neurofibromatosis type 1 who underwent coronary revascularization. Intraoperatively, numerous neurofibromas were discovered, one of which was attached to the left internal mammary artery. The procedure was uncomplicated despite the challenging intraoperative findings. Special considerations in the management of patients with neurofibromatosis undergoing cardiac surgery are discussed, including risks, preoperative imaging and the importance of excision of suspicious tumors.
AB - Intrathoracic neurofibromas are relatively uncommon in patients with neurofibromatosis. They are usually asymptomatic and may be discovered incidentally. We present the case of a 51-year-old, African American man with neurofibromatosis type 1 who underwent coronary revascularization. Intraoperatively, numerous neurofibromas were discovered, one of which was attached to the left internal mammary artery. The procedure was uncomplicated despite the challenging intraoperative findings. Special considerations in the management of patients with neurofibromatosis undergoing cardiac surgery are discussed, including risks, preoperative imaging and the importance of excision of suspicious tumors.
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U2 - 10.1016/j.athoracsur.2016.09.045
DO - 10.1016/j.athoracsur.2016.09.045
M3 - Article
C2 - 28359484
AN - SCOPUS:85017035149
SN - 0003-4975
VL - 103
SP - e309-e311
JO - Annals of Thoracic Surgery
JF - Annals of Thoracic Surgery
IS - 4
ER -