Papillary fibroelastoma of the left ventricle in a radiation-treated cancer patient
| Autor: | Jorge A. Lax, Mario Enrique Simonetti, María C. Saccheri, Alberto Cozzarin, Tomás F. Cianciulli |
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| Rok vydání: | 2018 |
| Předmět: |
Cardiac tumor
0301 basic medicine lcsh:Diseases of the circulatory (Cardiovascular) system medicine.medical_specialty medicine.medical_treatment left ventricular mass 03 medical and health sciences medicine echocardiography papillary fibroelastoma radiotherapy Mitral regurgitation Hysterectomy business.industry Mitral valve replacement medicine.disease Pulmonary hypertension Radiation therapy 030104 developmental biology medicine.anatomical_structure Papillary fibroelastoma lcsh:RC666-701 Ventricle Heart failure Radiology business malignancy |
| Zdroj: | Heart Views, Vol 19, Iss 4, Pp 137-140 (2018) |
| ISSN: | 1995-705X |
| DOI: | 10.4103/heartviews.heartviews_21_18 |
| Popis: | We present the case of a 69-year-old female patient with a history of endometrial carcinoma in 1996, who underwent a total hysterectomy and bilateral adnexectomy. The patient also received chemotherapy and mediastinal radiotherapy followed by cancer remission. Ten years later she presented with heart failure and her Doppler-echocardiogram showed severe mitral regurgitation with pulmonary hypertension and a papillary fibroelastoma in the left ventricle. In 2011, she underwent a mitral valve replacement with a biological prosthesis and the pathology exam revealed valve damage consistent with radiotherapy- induced changes and confirmed the presence of a papillary fibroelastoma. This unusual mechanism of papillary fibroelastoma should be disseminated among cardiology physicians and in patients who have survived for long periods after radiotherapy. It is important to remember that cardiac complications may indeed occur, and the treating physician is responsible for detecting them. |
| Databáze: | OpenAIRE |
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