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Case Reports
. 2019 Dec 31:3:49.
doi: 10.21037/acr.2019.11.03. eCollection 2019.

Post-mastectomy radiation arteritis in a patient presenting with upper extremity claudication

Jonathan A Schwitzer  1 , Paige Dekker  1 , Arjun Kanuri  1 , Abigail Tirrell  1 , Sarah R Sher  1
Affiliations
Case Reports

Post-mastectomy radiation arteritis in a patient presenting with upper extremity claudication

Jonathan A Schwitzer et al. AME Case Rep. .

Abstract

Radiation arteritis is a rare but serious complication following radiation therapy for the treatment of breast cancer. We present the case of a 53-year-old female presenting with right upper extremity claudication 4 months following radiation therapy for the treatment of right breast cancer, stage 3b invasive ductal carcinoma. She was referred to vascular surgery and initial imaging with computed tomography angiography (CTA) revealed occlusion from the origin of the subclavian to axillary artery. We discuss the implications that these vascular findings have on potential breast reconstruction options.

Keywords: Arteritis; breast neoplasms; mammoplasty.

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Conflict of interest statement

Conflicts of Interest: The authors have no conflicts of interest to declare.

Figures

Figure 1
Figure 1
Pre-mastectomy presentation.
Figure 2
Figure 2
Post tissue expander placement, prior to removal.
Figure 3
Figure 3
CTA demonstrating occlusion of the right subclavian (A) and axillary arteries (B,C,D) with reconstitution of the brachial artery via collateralization (D,E). CTA, computed tomography angiography.
See this image and copyright information in PMC

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