Jawień J, Prokop A
II Katedra Chorób Wewnetrznych Uniwersytetu Jagiellońskiego, Krakowie.
Pol Arch Med Wewn. 1993 Oct;90(4):287-90.
A case of 32-year old male with congestive heart failure and pleural effusion was described. When he was seven years old, he suffered from Hodgkin's disease and radiotherapy of the mediastinum and the neck was instituted. Twenty years later he developed acute myocardial infarction and then two episodes of circulatory arrest. The examinations revealed extensive, calcified stenoses of the coronary and cervical arteries. Risk factors of atheromatosis were absent. Moreover, the diagnosis of pleural mesothelioma which could also be caused by irradiation, was established.
描述了一例32岁充血性心力衰竭并伴有胸腔积液的男性病例。他七岁时患霍奇金病,接受了纵隔和颈部放疗。二十年后,他发生急性心肌梗死,随后出现两次循环骤停。检查发现冠状动脉和颈动脉广泛钙化狭窄。不存在动脉粥样硬化的危险因素。此外,还确诊了同样可能由放疗引起的胸膜间皮瘤。