title: Occult Internal Mammary Artery Neurofibromatosis: A Case for Caution in Coronary Revascularization.
abstract: 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.
authors.affiliation: Department of Surgery, University of Texas Medical Branch at Galveston, Galveston, Texas.
authors.forename: Stefanos
authors.initials: S
authors.lastname: Boukovalas
authors.affiliation: Department of Surgical Pathology, University of Texas Medical Branch at Galveston, Galveston, Texas.
authors.forename: Myrto
authors.initials: M
authors.lastname: Boukovala
authors.affiliation: Department of Surgery, University of Texas Medical Branch at Galveston, Galveston, Texas.
authors.forename: Patrick T
authors.initials: PT
authors.lastname: Roughneen
authors.affiliation: Technical University of Munich Medical School, Munich, Germany.
authors.forename: Suimmin
authors.initials: S
authors.lastname: Qiu
authors.affiliation: Department of Surgery, University of Texas Medical Branch at Galveston, Galveston, Texas. Electronic address: dr.aldossari@gmail.com.
authors.forename: Ghannam A
authors.initials: GA
authors.lastname: Al-Dossari
mesh_terms: D003324:Coronary Artery Disease / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D008323:Mammary Arteries; D008875:Middle Aged; D009204:Myocardial Revascularization; D009456:Neurofibromatosis 1 / Q000473:pathology* / Q000601:surgery; D019043:Vascular Neoplasms / Q000473:pathology* / Q000601:surgery