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胸部放疗27年后出现三支血管冠状动脉疾病、主动脉瓣狭窄和缩窄性心包炎:一例报告

Three-vessel coronary artery disease, aortic stenosis, and constrictive pericarditis 27 years after chest radiation therapy: a case report.

作者信息

Aqel Raed A, Lloyd Steven G, Gupta Himanshu, Zoghbi Gilbert J

机构信息

Division of Cardiovascular Disease, Department of Internal Medicine, University of Alabama, Birmingham 35233 , USA.

出版信息

Heart Surg Forum. 2006;9(4):E728-30. doi: 10.1532/HSF98.20061031.

Abstract

A patient with a history of Hodgkin's lymphoma presented with recurrent left pleural effusions and dyspnea on exertion 27 years after radiation therapy. Further evaluation disclosed suspected radiation-induced constrictive pericarditis, aortic stenosis and regurgitation, and severe coronary artery disease. He underwent successful 3-vessel coronary artery bypass grafting, aortic valve replacement, and pericardiectomy.

摘要

一名有霍奇金淋巴瘤病史的患者在放疗27年后出现复发性左侧胸腔积液和劳力性呼吸困难。进一步评估发现疑似放射性缩窄性心包炎、主动脉狭窄和反流以及严重冠状动脉疾病。他成功接受了三支血管冠状动脉搭桥术、主动脉瓣置换术和心包切除术。

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