Cardiology Department, Cork University Hospital Group, Cork, Ireland.
Cardiology Department, Cork University Hospital Group, Cork, Ireland
BMJ Case Rep. 2021 Feb 11;14(2):e238076. doi: 10.1136/bcr-2020-238076.
A 75-year-old was treated for prostate adenocarcinoma with brachytherapy in September 2018. A routine follow-up chest radiograph 3 months later revealed a metallic object of the same dimensions as a brachytherapy pellet located in the right ventricle. Further imaging showed the brachtherapy pellet was located in the anterobasal right ventricular endocardium close to the tricuspid valve. Frequent asymptomatic premature ventricular contractions were observed with likely origin from the left ventricular outflow tract, an area remote from the site of the pellet. The patient remains asymptomatic and subsequent imaging shows that the position of the pellet has not changed.
一位 75 岁男性因前列腺腺癌于 2018 年 9 月接受近距离放射治疗。3 个月后的常规随访胸部 X 线片显示,右心室中有一个与近距离放射治疗丸大小相同的金属物体。进一步的影像学检查显示,近距离放射治疗丸位于右心室前基底心内膜,靠近三尖瓣。观察到频繁的无症状性室性期前收缩,可能起源于左心室流出道,远离丸剂部位。患者仍无症状,随后的影像学检查显示丸剂位置未发生变化。