title: Unexpected Radiation-Induced Aortic Wall Thickening Requiring Composite Graft Technique during Off-Pump Coronary Artery Bypass Grafting.
abstract: 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.
authors.affiliation: Cardiovascular Department, Cardiac Surgery Unit, "A. Manzoni" Hospital, Lecco, Italy.
authors.forename: Paola
authors.identifier: 0000-0002-7479-9826
authors.initials: P
authors.lastname: Redaelli
authors.affiliation: Cardiovascular Department, Cardiac Surgery Unit, "A. Manzoni" Hospital, Lecco, Italy.
authors.forename: Amando
authors.initials: A
authors.lastname: Gamba
authors.affiliation: Cardiovascular Department, Cardiac Surgery Unit, "A. Manzoni" Hospital, Lecco, Italy.
authors.forename: Antonello Stefano
authors.initials: AS
authors.lastname: Martino
authors.affiliation: Cardiovascular Department, Cardiac Surgery Unit, "A. Manzoni" Hospital, Lecco, Italy.
authors.forename: Michele
authors.initials: M
authors.lastname: Triggiani