AI Article Synopsis
- Nickel hypersensitivity affects up to 15% of the population and has been linked to stainless steel wire use in surgeries.
- A case report describes a 48-year-old woman with a metal allergy who experienced severe complications, including systemic inflammation and cardiac tamponade, after coronary artery bypass grafting.
- The removal of stainless steel wires and use of Ethibond sutures, along with intravenous steroids, were necessary, highlighting the need for alternative closure methods in patients with nickel hypersensitivity.
Article Abstract
Nickel hypersensitivity has been reported in up to 15% of the general population, and cases of nickel allergy have been correlated with use of stainless steel wires. This is a case report of a 48-year-old woman with history of contact allergy to metal who underwent elective coronary artery bypass grafting. Severe systemic inflammatory response and cardiac tamponade due to edema of mediastinal tissues developed postoperatively. The patient required removal of stainless steel wires and delayed sternal closure with Ethibond (Ethicon, Somerville, NJ) sutures in addition to intravenous steroids. In patients with hypersensitivity to nickel, other alternatives closure methods should be considered.
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| http://dx.doi.org/10.1016/j.athoracsur.2018.06.090 | DOI Listing |
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