Impaired myocardial SPECT imaging secondary to silicon- and saline breast implants

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I wish I could send this without sending it as an

attachment . . . but the links wouldn't work. If

anyone wants me to send it to them privately, I'll be

happy to.

I'll send one as plain text - but it will be necessary

to use a search engine to find the articles.

Rogene

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Since heart disease - is the leading cause of death in American women - this information is very important!The other articles were found using a "breast implants and disease" search in PubMed.1. Impaired myocardial SPECT imaging secondary to silicon- and saline-containing breast implants.Int J Cardiovasc Imaging. 2006 Mar 15; [Epub ahead of print] Stinis CT, Lizotte PE, Movahed MR.PMID: 16538430 [PubMed - as supplied by publisher]Abstract: Early detection of coronary artery disease (CAD) in women has been challenging. Women are more likely to present with atypical symptoms, and non-invasive evaluation for CAD has been less accurate. Myocardial SPECT imaging is a well-established technique that provides important physiologic, anatomic, and prognostic information in women. Attenuation artifacts secondary to breast tissue are a common problem in women and can lead to decreased specificity of gated SPECT imaging. Cosmetic breast implants are increasing in popularity. The presence of a foreign object overlying the anterior wall of the heart in addition to native breast tissue can significantly increase attenuation artifacts. There is only one report to date describing attenuation artifact due to silicon breast implants in comparison to control, and there are no reports regarding saline breast implants. Here we report three cases of impaired myocardial SPECT imaging in women with breast implants: one patient with silicone implants, and two with saline-containing implants. Clinicians should be aware of this problem and women should be educated regarding the potential future diagnostic problems that may occur with breast implants before considering this cosmetic surgery.2. Silicone thorax due to a ruptured breast implant.Chest. 2005 May;127(5):1854-7.Levine RL, TC, Cartwright J Jr, Cagle PT.PMID: 15888870 [PubMed - indexed for MEDLINEAbstract: A woman with a history of bilateral mastectomy and silicone implants for fibrocystic disease and a history of atrial septal defect repair presented with pleural nodules on a chest radiograph. A thorascopic biopsy performed for possible mesothelioma demonstrated chronic inflammation and focal pleural fibrosis due to a foreign-body reaction secondary to silicone. This was confirmed using scanning electron microscopy and energy-dispersive radiograph elemental analysis. As the population ages, the increasing frequency of ruptured silicone implants and the need for heart surgery may result in a corresponding increase in the risk for fibrothorax secondary to inadvertent silicone introduction during surgery.3.[Necrobiosis lipoidica over appendectomy scar in a patient with morphea of the breast]Actas Dermosifiliogr. 2006 Jan-Feb;97(1):52-5. Spanish. Acebo E, Gardeazabal J, Marcellan M, Lasa O, Burgos JJ, - JL.PMID: 16540053 [PubMed - in process]4. Magnetic resonance imaging of the breast: current indications.Can Assoc Radiol J. 2005 Dec;56(5):301-8. Review. Lalonde L, J, Trop I.PMID: 16579024 [PubMed - indexed for MEDLINE] 5. [The risk of severe complications of body piercing should not be underestimated]Ekelius L, Fohlman J, Kalin M.Lakartidningen. 2005 Sep 12-18;102(37):2560-2, 2564. Swedish. PMID: 16200902 [PubMed - indexed for MEDLINE] 6. Successful treatment of acute periprosthetic breast infection with curettage, pulse lavage, and immediate device exchange.De Lorenzi C.Aesthetic Plast Surg. 2005 Sep-Oct;29(5):400-3. PMID: 16075354 [PubMed - indexed for MEDLINE] 7. Breast implants as a possible etiology of epithelioid hemangioendothelioma and successful therapy with interferon-alpha2.Breast J. 2005 Jul-Aug;11(4):257-61. Marsh Rde W, MH, G, Liu C.PMID: 15982392 [PubMed - indexed for MEDLINE]  8. Saline-filled breast implant contamination with Curvularia species among women who underwent cosmetic breast augmentation.J Infect Dis. 2005 Jul 1;192(1):170-7. Epub 2005 May 18. Kainer MA, Keshavarz H, Jensen BJ, Arduino MJ, Brandt ME, Padhye AA, Jarvis WR, Archibald LK.PMID: 15942908 [PubMed - indexed for MEDLINE] 9. [Mondor's disease: a complication after breast surgery]Ann Chir Plast Esthet. 2005 Jun;50(3):197-201. French. Lhoest F, Grandjean FX, Heymans O.PMID: 15963839 [PubMed - indexed for MEDLINE] 10. Silicone embolism syndrome: a case report, review of the literature, and comparison with fat embolism syndrome.Chest. 2005 Jun;127(6):2276-81. Review. Schmid A, Tzur A, Leshko L, Krieger BP.PMID: 15947350 [PubMed - indexed for MEDLINE] 11. Infection, vaccines and other environmental triggers of autoimmunity.Autoimmunity. 2005 May;38(3):235-45. Molina V, Shoenfeld Y.PMID: 16126512 [PubMed - indexed for MEDLINE]