Thoracic Radionecrosis Following Repeated Cardiac Catheterization

Abstract EN

Radiodermatitis is a known complication in patients having undergone radiotherapy.

It usually appears 2 to 5 years after irradiation.

We are reporting on a case of radiodermatitis that occurred within months after coronary dilatation and stenting.

It started with painful swelling, followed by a typical appearance on the skin surface.

Histological finding confirmed the diagnosis.

However, magnetic resonance imaging showed changes in the subcutaneous tissue extending into the ribs.

A radical debridement was performed including removal of a partially necrotic 4th rib.

The defect was closed with a latissimus dorsi transposition flap.

Our findings are compared with the literature reports.