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Frolova Yu.V.

Petrovsky National Research Centre of Surgery

Vilizhinskaya K.A.

Petrovsky National Research Centre of Surgery

Ivanov V.A.

Petrovsky National Research Centre of Surgery

Aidamirov Ya.A.

Petrovsky National Research Centre of Surgery

Gioeva Z.V.

Petrovsky National Research Centre of Surgery

Kozlova M.A.

Petrovsky National Research Centre of Surgery

Kaktursky L.V.

Petrovsky National Research Centre of Surgery

Areshidze D.A.

Petrovsky National Research Centre of Surgery

Evseev E.P.

Petrovsky National Research Centre of Surgery

A middle-aged patient with early manifestations of post-radiation constrictive pericarditis: case report

Authors:

Frolova Yu.V., Vilizhinskaya K.A., Ivanov V.A., Aidamirov Ya.A., Gioeva Z.V., Kozlova M.A., Kaktursky L.V., Areshidze D.A., Evseev E.P.

More about the authors

Journal: Russian Cardiology Bulletin. 2024;19(3): 98‑103

DOI: 10.17116/Cardiobulletin20241903198

Views: 509

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Table of contents

A MIDDLE-AGED PATIENT WITH EARLY MANIFESTATIONS OF POST-RADIATION CONSTRICTIVE PERICARDITIS: CASE REPORT
A MIDDLE-AGED PATIENT WITH EARLY MANIFESTATIONS OF POST-RADIATION CONSTRICTIVE PERICARDITIS: CASE REPORT

To cite this article:

Frolova YuV, Vilizhinskaya KA, Ivanov VA, et al. . A middle-aged patient with early manifestations of post-radiation constrictive pericarditis: case report. Russian Cardiology Bulletin. 2024;19(3):98‑103. (In Russ.)
https://doi.org/10.17116/Cardiobulletin20241903198

Подписка 2025-2 (Russian Cardiology Bulletin)
 
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Radiotherapy is one of the key stages in the treatment of breast cancer. This approach contributes to stable clinical remission of disease. At the same time, irradiation leads to fibrotic damage to all structures of the heart, thoracic aorta and lungs over the next 10—20 years after the first exposure. This fact raises the question of timely diagnosis of various complications after radiotherapy. We present a 51-year-old patient after successful total pericardiectomy and early manifestations of severe heart failure due to post-radiation constrictive pericarditis. The last one occurred after 3 years and 23 courses of high-dose radiotherapy for left-sided breast cancer.

Keywords:

chronic heart failure
cardio-oncology
post-radiation constrictive pericarditis

Authors:

Frolova Yu.V.

Petrovsky National Research Centre of Surgery

Vilizhinskaya K.A.

Petrovsky National Research Centre of Surgery

Ivanov V.A.

Petrovsky National Research Centre of Surgery

Aidamirov Ya.A.

Petrovsky National Research Centre of Surgery

Gioeva Z.V.

Petrovsky National Research Centre of Surgery

Kozlova M.A.

Petrovsky National Research Centre of Surgery

Kaktursky L.V.

Petrovsky National Research Centre of Surgery

Areshidze D.A.

Petrovsky National Research Centre of Surgery

Evseev E.P.

Petrovsky National Research Centre of Surgery

Received:

21.01.2024

Accepted:

22.02.2024

List of references:

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  2. Castaneda SA, Strasser J. Updates in the Treatment of Breast Cancer with Radiotherapy. Surgical Oncology Clinics of North America. 2017;26(3):371-382. 
  3. Nkomo VT, El-Am EA. The Complex Treatment of Postradiation Valvular Heart Disease. JACC: Case Reports. 2022;8:101652. https://doi.org/10.1016/j.jaccas.2022.09.019
  4. Menezes KM, Wang H, Hada M, Saganti PB. Radiation Matters of the Heart: A Mini Review. Frontiers in Cardiovascular Medicine. 2018;5:83.  https://doi.org/10.3389/fcvm.2018.00083
  5. Peix A, Aylen P, Barreda AM. Cancer and Postradiotherapy Cardiotoxicity: How to Face Damage in Women’s Hearts? European Cardiology. 2023;29:18:e08.  https://doi.org/10.15420/ecr.2022.36
  6. Hennequin C, Barillot I, Azria D, Belkacemi Y, Bollet M, Chauvet B, Cowen D, Cutuli B, Fourquet A, Hannoun-Levi JM, Leblanc M, Mahe MA. Radiotherapy of breast cancer. Cancer/Radiothérapie. 2016;20 Suppl:S139-146.  https://doi.org/10.1016/j.canrad.2016.07.025
  7. Taylor C, Correa C, Duane FK, Aznar MC, Anderson SJ, Bergh J, Dodwell D, Ewertz M, Gray R, Jagsi R, Pierce L, Pritchard KI, Swain S, Wang Z, Wang Y, Whelan T, Peto R, McGale P. Estimating the Risks of Breast Cancer Radiotherapy: Evidence From Modern Radiation Doses to the Lungs and Heart and From Previous Randomized Trials. Journal of Clinical Oncology. 2017;35(15):1641-1649. https://doi.org/10.1200/JCO.2016.72.0722
  8. Niska JR, Thorpe CS, Allen SM, Daniels TB, Rule WG, Schild SE, Vargas CE, Mookadam F. Radiation and the heart: systematic review of dosimetry and cardiac endpoints. Expert Review of Cardiovascular Therapy. 2018;16(12):931-950.  https://doi.org/10.1080/14779072.2018.1538785
  9. Arbelo E, Protonotarios A, Gimeno JR, Arbustini E. ESC Guidelines for the management of cardiomyopathies. European Heart Journal. 2023;44(37):3503-3626.
  10. Ellahham S, Khalouf A, Elkhazendar M, Dababo N, Manla Y. An overview of radiation-induced heart disease. Radiation Oncology Journal. 2022;40(2):89-102.  https://doi.org/10.3857/roj.2021.00766
  11. Narowska G, Gandhi S, Tzeng A, Hamad EA. Cardiovascular Toxicities of Radiation Therapy and Recommended Screening and Surveillance. Journal of Cardiovascular Development and Disease. 2023;10(11):447.  https://doi.org/10.3390/jcdd10110447
  12. Marinko T. Pericardial disease after breast cancer radiotherapy. Radiology and Oncology. 2018;53(1):1-5.  https://doi.org/10.2478/raon-2018-0035
  13. Pahwa S, Crestanello J, Miranda W, Bernabei A, Polycarpou A, Schaff H, Dearani J, Stulak J, Pochettino A, Daly R, Lahr B, Viehman J, Greason K. Outcomes of pericardiectomy for constrictive pericarditis following mediastinal irradiation. Journal of Cardiac Surgery. 2021;36(12):4636-4642. https://doi.org/10.1111/jocs.15996
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