Case Report of Deep Vein Thrombosis after Cohesive Silicone Gel Implant Basedaugmentation Mammoplasty.

Kim, Do Hoon; Yang, Eun Jung; Lim, So Young; Pyon, Jai Kyong; Mun, Goo Hyun; Oh, Kap Sung; Bang, Sa Ik

Case Report

Journal of the Korean Society of Plastic and Reconstructive Surgeons 2011;38(5):703-706.
Published online September 1, 2011.

Case Report of Deep Vein Thrombosis after Cohesive Silicone Gel Implant Basedaugmentation Mammoplasty.

Do Hoon Kim, Eun Jung Yang, So Young Lim, Jai Kyong Pyon, Goo Hyun Mun, Kap Sung Oh, Sa Ik Bang

Department of Plastic Surgery, Samsung Medical Center, Sungkyunkwan University, School of Medicine, Seoul, Korea. si55.bang@samsung.com

Abstract

PURPOSE
Augmentation mammoplasty by cohesive silicone gel implant is becoming more popular nowadays. Many types of complications have been reported, such as hematoma, seroma, infection, capsular contracture and etc. But there were no report of deep vein thrombosis(DVT) after augmentation mammoplasty in Korea. The authors experienced one case of DVT after augmentation mammoplasty using a cohesive silicone gel implant. METHODS: A 38-year-old woman with breast cancer underwent reconstruction by tissue expander and augmentation mammoplasty by cohesive silicone gel implant, and exchange of expander to cohesive silicone gel implant. The operation was finished without any complicating event. On 4th day after the operation, the patient complained of intermittent right lower leg pain. By doppler ultrasonography, the patient was diagnosed with acute venous thrombosis of the popliteal vein, posterior tibial vein and peroneal vein.
RESULTS
Intravenous heparinization and oral warfarin were started immediately and elastic compression stocking was applied. Intravenous heparinization was continued until INR(blood coagulation unit) reached to target levels. The patient was discharged on 11th day of operation with oral warfarin. Other complication has not been reported after 10 weeks of operation.
CONCLUSION
To our knowledge, this is the first report of DVT after silicone implant based breast augmentation.

Keywords: Deep vein thrombosis; Augmentation mammoplasty; Pulmonary embolism