TY - JOUR
T1 - Constrictive pericarditis 5 months after radiation therapy in a 62-year-old woman with esophageal cancer
AU - Yeneneh, Beeletsega T.
AU - Allen, Sorcha
AU - Panse, Prasad
AU - Mookadam, Farouk
AU - Rule, William
N1 - Publisher Copyright:
© 2017 by the Texas Heart ® Institute, Houston.
Copyright:
Copyright 2018 Elsevier B.V., All rights reserved.
PY - 2017/12
Y1 - 2017/12
N2 - Most pericardial changes appear within a few weeks in patients who have undergone radiation therapy for thoracic neoplasms. Chronic pericardial constriction typically occurs decades later, consequent to fibrosis. Early constrictive pericarditis after chest irradiation is quite rare. We report the case of a 62-year-old woman who underwent radiation therapy for esophageal cancer and presented with constrictive pericarditis 5 months later. We searched the English-language medical literature from January 1986 through December 2015 for reports of early constrictive pericarditis after irradiation for thoracic malignancies. We defined “early” as a diagnosis within one year after radiation therapy. Five cases fit our criteria, and we summarize the findings here. To our knowledge, ours is the first definitive report of a patient with esophageal cancer to present with early radiation-induced constrictive pericarditis. We conclude that constrictive pericarditis can occur early after radiation for thoracic malignancies, albeit rarely. When planning care for cancer patients, awareness of this sequela is helpful.
AB - Most pericardial changes appear within a few weeks in patients who have undergone radiation therapy for thoracic neoplasms. Chronic pericardial constriction typically occurs decades later, consequent to fibrosis. Early constrictive pericarditis after chest irradiation is quite rare. We report the case of a 62-year-old woman who underwent radiation therapy for esophageal cancer and presented with constrictive pericarditis 5 months later. We searched the English-language medical literature from January 1986 through December 2015 for reports of early constrictive pericarditis after irradiation for thoracic malignancies. We defined “early” as a diagnosis within one year after radiation therapy. Five cases fit our criteria, and we summarize the findings here. To our knowledge, ours is the first definitive report of a patient with esophageal cancer to present with early radiation-induced constrictive pericarditis. We conclude that constrictive pericarditis can occur early after radiation for thoracic malignancies, albeit rarely. When planning care for cancer patients, awareness of this sequela is helpful.
KW - Constrictive/diagnosis/ etiology/pathology/therapy
KW - Dose-response relationship
KW - Heart/ radiation effects
KW - High-energy/ adverse effects
KW - Patient care planning
KW - Pericarditis
KW - Radiation
KW - Radiation injuries/etiology
KW - Radiotherapy
KW - Thoracic neoplasms/radiotherapy
KW - Time factors
KW - Treatment outcome
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U2 - 10.14503/THIJ-16-6054
DO - 10.14503/THIJ-16-6054
M3 - Article
C2 - 29276442
AN - SCOPUS:85038569161
VL - 44
SP - 411
EP - 415
JO - Texas Heart Institute Journal
JF - Texas Heart Institute Journal
SN - 0730-2347
IS - 6
ER -