Coronary Ostial Stenosis After Radiotherapy: Angioplasty or Coronary Artery Surgery?
Overview
Authors
Affiliations
A thirty year old man underwent coronary angioplasty for an isolated ostial stenosis of the ostium of the right coronary artery after mediastinal radiotherapy given ten years previously. Despite an angiographically acceptable angioplasty result, he had a myocardial infarction two months later and coronary artery surgery was performed. The most effective form of myocardial revascularisation for radiotherapy related coronary artery lesions remains to be established.
Radiation-Induced Vascular Disease-A State-of-the-Art Review.
Yang E, Marmagkiolis K, Balanescu D, Hakeem A, Donisan T, Finch W Front Cardiovasc Med. 2021; 8:652761.
PMID: 33860001 PMC: 8042773. DOI: 10.3389/fcvm.2021.652761.
Cardiac surgery in patients irradiated for Hodgkin's lymphoma.
Siregar S, de Heer F, van Herwerden L Neth Heart J. 2010; 18(2):61-5.
PMID: 20200610 PMC: 2828564. DOI: 10.1007/BF03091739.
Orzan F, Brusca A, Conte M, Presbitero P, Figliomeni M Br Heart J. 1993; 69(6):496-500.
PMID: 8343315 PMC: 1025159. DOI: 10.1136/hrt.69.6.496.