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Case Reports in Surgery
Volume 2017, Article ID 3831749, 2 pages
https://doi.org/10.1155/2017/3831749
Case Report

Unexpected Radiation-Induced Aortic Wall Thickening Requiring Composite Graft Technique during Off-Pump Coronary Artery Bypass Grafting

Cardiovascular Department, Cardiac Surgery Unit, “A. Manzoni” Hospital, Lecco, Italy

Correspondence should be addressed to Paola Redaelli; ti.oohay@41aderoap

Received 18 October 2016; Accepted 4 January 2017; Published 19 January 2017

Academic Editor: Murat Güvener

Copyright © 2017 Paola Redaelli et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.