Post-mastectomy radiation arteritis in a patient presenting with upper extremity claudication

Jonathan A. Schwitzer, Paige Dekker, Arjun Kanuri, Abigail Tirrell, Sarah R. Sher


Radiation arteritis is a rare but serious complication following radiation therapy for the treatment of breast cancer. We present the case of a 53-year-old female presenting with right upper extremity claudication 4 months following radiation therapy for the treatment of right breast cancer, stage 3b invasive ductal carcinoma. She was referred to vascular surgery and initial imaging with computed tomography angiography (CTA) revealed occlusion from the origin of the subclavian to axillary artery. We discuss the implications that these vascular findings have on potential breast reconstruction options.