Galactorrhea Following Minimally Invasive Reoperative Mitral Valve Replacement: An Unexpected Complication

Innovations (Phila). 2020 Mar/Apr;15(2):177-179. doi: 10.1177/1556984520909800.

Abstract

Galactorrhea, or nonpuerperal lactation, is a rare complication that can occur after trauma to the chest wall. Although galactorrhea has been reported after thoracic surgery, it has not been previously noted as a potential outcome following cardiac surgery. We present a unique case of hyperprolactinemic galactorrhea experienced by a 39-year-old nongravid female patient after having undergone reoperative mitral valve replacement via a right minithoracotomy. To the best of our knowledge, this is the first reported case of spontaneous lactation occurring after cardiac surgery.

Keywords: galactorrhea; mitral valve replacement; prolactin; thoracotomy.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Bioprosthesis
  • Cabergoline / therapeutic use
  • Cardiac Surgical Procedures / adverse effects
  • Dopamine Agonists / therapeutic use
  • Female
  • Galactorrhea / drug therapy
  • Galactorrhea / etiology*
  • Humans
  • Minimally Invasive Surgical Procedures / methods
  • Mitral Valve Stenosis / surgery*
  • Prolactin / blood
  • Reoperation / adverse effects*
  • Thoracotomy / methods
  • Treatment Outcome

Substances

  • Dopamine Agonists
  • Prolactin
  • Cabergoline