Gerhardt Caroline A, Grewe Stefanie, Vera Nora, Reese Alexander, Baldwin Brooke
Dermatology, University of South Florida Morsani College of Medicine, Tampa, USA.
Pathology, University of South Florida, Tampa, USA.
Cureus. 2021 Nov 18;13(11):e19721. doi: 10.7759/cureus.19721. eCollection 2021 Nov.
Coronary artery bypass grafting is a common surgical procedure that often uses the saphenous vein, internal thoracic artery, or radial artery as a conduit to improve blood circulation to the heart. When a blockage or impediment to arterial flow is noted, this procedure is undertaken to ensure the myocardium receives the blood it needs to function optimally. Infrequently, dermatoses overlying the conduit site may be observed, notably with the saphenous vein harvest site. Here we report the first case of sclerodermiform dermatitis occurring at the internal thoracic artery donor graft site. This unique case is important for providers to be aware of when evaluating a patient post-operatively who presents with new-onset dermatologic changes at the site of previous donor harvesting to ensure optimal treatment and management.
冠状动脉搭桥术是一种常见的外科手术，通常使用大隐静脉、胸廓内动脉或桡动脉作为管道来改善心脏的血液循环。当发现动脉血流受阻时，就会进行该手术以确保心肌获得正常运作所需的血液。偶尔会观察到覆盖管道部位的皮肤病，尤其是在大隐静脉采集部位。在此，我们报告首例发生在胸廓内动脉供体移植部位的硬皮病样皮炎病例。这个独特的病例对于医护人员在评估术后患者时很重要，这些患者在先前供体采集部位出现新发皮肤病变化，以确保进行最佳的治疗和管理。
