Radiation Therapy-Induced Cardiovascular Disease Treated by a Percutaneous Approach

We report the case of a 51-year-old woman, treated with radiotherapy at the age of two years, for a pulmonary sarcoma. Subsequently she developed severe aortic stenosis and bilateral ostial coronary artery disease, symptomatic for dyspnea (NYHA III functional class). Due to the prohibitive surgical...

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Detalles Bibliográficos
Autores principales: Fiocca, Luigi, Coccato, Micol, Sirbu, Vasile, Vassileva, Angelina, Guagliumi, Giulio, Musumeci, Giuseppe, Terzi, Amedeo, Canu, Gianluca, Cerchierini, Elisa, Cugola, Diego, Valsecchi, Orazio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2015
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4430632/
https://www.ncbi.nlm.nih.gov/pubmed/26064696
http://dx.doi.org/10.1155/2015/851624
Descripción
Sumario:We report the case of a 51-year-old woman, treated with radiotherapy at the age of two years, for a pulmonary sarcoma. Subsequently she developed severe aortic stenosis and bilateral ostial coronary artery disease, symptomatic for dyspnea (NYHA III functional class). Due to the prohibitive surgical risk, she underwent successful stenting in the right coronary artery and left main ostia with drug eluting stents and, afterwards, transcatheter aortic valve replacement with transfemoral implantation of a 23 mm Edwards SAPIEN XT valve. The percutaneous treatment was successful without complications and the patient is in NYHA II functional class at 2 years' follow-up, fully carrying out normal daily activities.

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