Internal medicine (Tokyo, Japan) · 2020
Successful Transcatheter Aortic Valve Implantation in a Patient with Radiation-induced Aortic Stenosis for Mediastinal Hodgkin Lymphoma.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Obayashi Yuki, Sakamoto Jiro, Hamaguchi Yukihiro, Hamasaki Maki, Mima Hibiki, Kojima Hidenori, Yamasaki Seita, Okamoto Hiroki, Tamura Akinori, Kuroda Maiko, Harita Takeshi, Nishiuchi Suguru, Tamaki Yodo, Enomoto Soichiro, Miyake Makoto, Kondo Hirokazu, Sakaguchi Hisashi, Iwakura Atsushi, Tamura Toshihiro
Аннотация
Aortic stenosis (AS), a late complication of thoracic radiation therapy for chest lesions, is often coincident with porcelain aorta or hostile thorax. We herein report a 59-year-old man with a history of mediastinal Hodgkin lymphoma treated with radiation therapy but later presenting with heart failure caused by severe AS. Severe calcification in the mediastinum and around the ascending aorta made it difficult to perform surgical aortic valve replacement. The patient therefore underwent transcatheter aortic valve implantation (TAVI). It is important to recognize radiation-induced AS early, now that TAVI is a well-established treatment required by increasing numbers of successfully treated cancer patients.