Radiation-induced heart disease (RIHD) is a serious side effect of cancer treatment, including coronary artery disease, valvular cardiac dysfunction, cardiomyopathy, aortopathy, and chronic constrictive pericarditis. Herein, this case we present was diagnosed as radiation-induced constrictive pericarditis and cardiomyopathy by means of cardiac magnetic resonance (CMR) and transthoracic echocardiogram, finally confirmed by pathology after performing heart transplant operation.
This case supports a notion that RIHD often causes multiple heart impairment and CMR is helpful to diagnose cardiomyopathy after radiation.
aDepartment of Cardiology
bDepartment of Cardiac Surgery, State Key Laboratory of Cardiovascular Disease, FuWai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, People's Republic of China.
Correspondence: Jie Huang, Chinese Academy of Medical Sciences and Peking Union Medical College Fuwai Hospital, Beijing 100037, China (e-mail: Doctorwheat@aliyun.com).
Abbreviations: CMR = cardiac magnetic resonance, LGE = late gadolinium–enhancement, NT-proBNP = N-terminal-pro-brain natriuretic peptide, RIHD = radiation-induced heart disease.
The authors have no conflicts of interest to disclose.
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Received August 18, 2016
Received in revised form December 21, 2016
Accepted December 23, 2016