Afectación valvular mitroaórtica y aorta en porcelana inducidas por radioterapia en un paciente con linfoma de Hodgkin

Ramón Maseda Uriza , Alfonso Jurado Román , Jesús Piqueras Flores , Alberto Forteza Gil
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Abstract

Mediastinal radiotherapy for the treatment of certain cancers can cause devastating effects on the cardiovascular system. We present the case of a 47-year-old male with a history of Hodgkin's lymphoma at 30 years of age, who was treated with radiotherapy and chemotherapy. Three years before he underwent surgery for severe aortic stenosis. He is admitted to our hospital for acute pulmonary edema caused by severe mitral valve disease. During pre-surgery workout, severe calcification of the entire and thoracic abdominal aorta was detected, as well as the presence of an aortic pseudoaneurysm related to prior surgery. It is a complex and infrequent case that encompasses almost the entire spectrum of radiotherapy damage in the same patient.

霍奇金淋巴瘤患者放疗诱导瓷肌主动脉瓣和主动脉瓣受累
纵隔放射治疗某些癌症会对心血管系统造成毁灭性的影响。我们提出的情况下,47岁的男性霍奇金淋巴瘤的历史,在30岁,谁是治疗放疗和化疗。三年前他接受了严重主动脉狭窄的手术。他因严重二尖瓣疾病引起的急性肺水肿住进我院。在术前锻炼期间,检测到整个和胸腹主动脉严重钙化,以及与术前相关的主动脉假性动脉瘤的存在。这是一种复杂而罕见的病例,几乎涵盖了同一患者放射治疗损伤的整个频谱。
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