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Stefanos Boukovalas, MD, Myrto Boukovala, Cand. Med. , Patrick T

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Presentation on theme: "Stefanos Boukovalas, MD, Myrto Boukovala, Cand. Med. , Patrick T"— Presentation transcript:

1 Occult Internal Mammary Artery Neurofibromatosis: A Case for Caution in Coronary Revascularization 
Stefanos Boukovalas, MD, Myrto Boukovala, Cand.Med., Patrick T. Roughneen, MD, FRCS, Suimmin Qiu, MD, PhD, Ghannam A. Al- Dossari, MD  The Annals of Thoracic Surgery  Volume 103, Issue 4, Pages e309-e311 (April 2017) DOI: /j.athoracsur Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Intraoperative view of the left internal mammary artery pedicle with neurofibroma (2 × 1.5 cm) attached. The Annals of Thoracic Surgery  , e309-e311DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Excised neurofibroma. Cross-section is shown in upper left corner. The Annals of Thoracic Surgery  , e309-e311DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Microscopic examination demonstrating the typical nuclear features of neurofibroma. A diffuse hypocellular lesion of spindle cells with collagenous background and weaving nuclei is identified at low magnification (original magnification ×200). Entrapped thin-walled blood vessels within the lesion are demonstrated at high magnification (original magnification ×400). The Annals of Thoracic Surgery  , e309-e311DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

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