title: Pseudoaneurysm of the Right Internal Mammary Artery Post Vacuum-Assisted Closure Therapy: A Rare Complication and Literature Review.
abstract: Vacuum-assisted closure (VAC) therapy in the management of sternal wound infection post cardiac surgery has gained popularity since last decade. It is very cost effective and has survival benefit compared with conventional management. Although there are few complications associated with VAC therapy including right ventricular free wall rupture and infectious erosion to aorta, there are now isolated reports of vein graft pseudoaneurysm associated with it. We describe an extremely rare complication of right internal mammary artery pseudoaneurysm post VAC therapy in a 56-year-old man which was successfully managed surgically. We also did a literature review on the possible complications of VAC therapy post cardiac surgery and its management.
authors.affiliation: Central Manchester University Hospitals Foundation Trust, Manchester, UK.
authors.forename: Subir
authors.initials: S
authors.lastname: Datta
authors.affiliation: Central Manchester University Hospitals Foundation Trust, Manchester, UK.
authors.forename: Imthiaz
authors.initials: I
authors.lastname: Manoly
authors.affiliation: Central Manchester University Hospitals Foundation Trust, Manchester, UK. Electronic address: dimoskaragel@yahoo.gr.
authors.forename: Dimos
authors.initials: D
authors.lastname: Karangelis
authors.affiliation: Central Manchester University Hospitals Foundation Trust, Manchester, UK.
authors.forename: Ragheb
authors.initials: R
authors.lastname: Hasan
mesh_terms: D017541:Aneurysm, False / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D047549:Coronary Artery Bypass, Off-Pump / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008323:Mammary Arteries / Q000000981:diagnostic imaging / Q000601:surgery*; D008875:Middle Aged; D054843:Negative-Pressure Wound Therapy / Q000009:adverse effects*; D012086:Reoperation; D013530:Surgical Wound Infection / Q000175:diagnosis / Q000382:microbiology / Q000628:therapy*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents