Home > Journals > The Journal of Cardiovascular Surgery > Past Issues > The Journal of Cardiovascular Surgery 2011 December;52(6) > The Journal of Cardiovascular Surgery 2011 December;52(6):859-61

CURRENT ISSUE
 

ARTICLE TOOLS

Reprints

THE JOURNAL OF CARDIOVASCULAR SURGERY

A Journal on Cardiac, Vascular and Thoracic Surgery


Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,632


eTOC

 

CASE REPORTS  


The Journal of Cardiovascular Surgery 2011 December;52(6):859-61

language: English

Aseptic polyurethane carotid patch rejection: complication, allergy or miraculous healing?

Tshomba Y. 1, De Dominicis D. 1, Marone E. M. 1, Mascia D. 1, Sanvito F. 2, Chiesa R. 1

1 Vascular Surgery, San Raffaele Scientific Institute, Vita-Salute University, Milan, Italy;
2 Department of Pathology, San Raffaele Scientific Institute, Vita-Salute University, Milan, Italy


PDF  


Carotid endarterectomy plays an important role in the prevention of ischemic stroke; patching could reduce the risk of intra- and postoperative complications and late restenosis among primary closure. Materials actually available for the patch tailoring are synthetic or biological: which is the best is still debated. We present the case of a polyurethane (PU) carotid patch rejection three years after its implant, with no evident arterial discontinuity and no sign of infection. Histopathological analysis on hematoxylin-eosin stained sections of the regenerated arterial wall tissue removed revealed plasma cell infiltration and clusters of foreign body giant cells. PU patch rejection has been seldom described in literature. This is an unusual late complication that should be considered at long-term follow-up evaluation of these patients.

top of page

Publication History

Cite this article as

Corresponding author e-mail

tshomba.yamume@hsr.it