The Heart-Team Approach for the Treatment of Radiation-Induced Aortic Stenosis and Coronary Artery Disease: A Case ReportNovel Teaching Points

We describe the case of a 54-year-old woman admitted to the cardiology ward for the correction of radiation-induced aortic stenosis and coronary artery disease. After careful workup, she underwent surgical aortic valve replacement and aortocoronary bypass with venous grafts. This case demonstrates t...

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Autores principales:	Eve Belzile-Dugas, MD, Caroline Michel, MD, Jean-Francois Morin, MD, Mark J. Eisenberg, MD, MPH
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Diseases of the circulatory (Cardiovascular) system RC666-701
Acceso en línea:	https://doaj.org/article/b4c8ebce99b84ee79e6a7f31dd15655a
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spelling	oai:doaj.org-article:b4c8ebce99b84ee79e6a7f31dd15655a2021-11-30T04:17:22ZThe Heart-Team Approach for the Treatment of Radiation-Induced Aortic Stenosis and Coronary Artery Disease: A Case ReportNovel Teaching Points2589-790X10.1016/j.cjco.2021.06.009https://doaj.org/article/b4c8ebce99b84ee79e6a7f31dd15655a2021-11-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2589790X21001621https://doaj.org/toc/2589-790XWe describe the case of a 54-year-old woman admitted to the cardiology ward for the correction of radiation-induced aortic stenosis and coronary artery disease. After careful workup, she underwent surgical aortic valve replacement and aortocoronary bypass with venous grafts. This case demonstrates the late cardiovascular complications that can develop after radiation therapy for cancer, and the surgical complexity of these patients. Thorough workup is needed for the treatment of radiation-induced valvulopathy and coronary artery disease, as these patients are often poor surgical candidates with hostile chests. Multidisciplinary heart-team assessment is paramount, and consideration should be given to catheter-based approaches. RÉsumÉ: Nous décrivons le cas d’une femme de 54 ans admise en cardiologie pour la correction d’une sténose aortique radio-induite et une coronaropathie. Après un bilan minutieux, elle a subi un remplacement valvulaire aortique chirurgical et un pontage aortocoronarien à l’aide de greffons veineux. Ce cas démontre les complications cardiovasculaires tardives qui peuvent survenir après la radiothérapie administrée pour un cancer, et la complexité de l’intervention chirurgicale de ces patients. Un bilan complet est nécessaire avant le traitement de la valvulopathie radio-induite et de la coronaropathie, puisque ces patients sont souvent de mauvais candidats à l’intervention chirurgicale en raison de thorax « hostiles ». Il est primordial que l’équipe multidisciplinaire en cardiologie réalise l’évaluation et il faudrait envisager les approches par cathéter.Eve Belzile-Dugas, MDCaroline Michel, MDJean-Francois Morin, MDMark J. Eisenberg, MD, MPHElsevierarticleDiseases of the circulatory (Cardiovascular) systemRC666-701ENCJC Open, Vol 3, Iss 11, Pp 1388-1391 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the circulatory (Cardiovascular) system RC666-701
spellingShingle	Diseases of the circulatory (Cardiovascular) system RC666-701 Eve Belzile-Dugas, MD Caroline Michel, MD Jean-Francois Morin, MD Mark J. Eisenberg, MD, MPH The Heart-Team Approach for the Treatment of Radiation-Induced Aortic Stenosis and Coronary Artery Disease: A Case ReportNovel Teaching Points
description	We describe the case of a 54-year-old woman admitted to the cardiology ward for the correction of radiation-induced aortic stenosis and coronary artery disease. After careful workup, she underwent surgical aortic valve replacement and aortocoronary bypass with venous grafts. This case demonstrates the late cardiovascular complications that can develop after radiation therapy for cancer, and the surgical complexity of these patients. Thorough workup is needed for the treatment of radiation-induced valvulopathy and coronary artery disease, as these patients are often poor surgical candidates with hostile chests. Multidisciplinary heart-team assessment is paramount, and consideration should be given to catheter-based approaches. RÉsumÉ: Nous décrivons le cas d’une femme de 54 ans admise en cardiologie pour la correction d’une sténose aortique radio-induite et une coronaropathie. Après un bilan minutieux, elle a subi un remplacement valvulaire aortique chirurgical et un pontage aortocoronarien à l’aide de greffons veineux. Ce cas démontre les complications cardiovasculaires tardives qui peuvent survenir après la radiothérapie administrée pour un cancer, et la complexité de l’intervention chirurgicale de ces patients. Un bilan complet est nécessaire avant le traitement de la valvulopathie radio-induite et de la coronaropathie, puisque ces patients sont souvent de mauvais candidats à l’intervention chirurgicale en raison de thorax « hostiles ». Il est primordial que l’équipe multidisciplinaire en cardiologie réalise l’évaluation et il faudrait envisager les approches par cathéter.
format	article
author	Eve Belzile-Dugas, MD Caroline Michel, MD Jean-Francois Morin, MD Mark J. Eisenberg, MD, MPH
author_facet	Eve Belzile-Dugas, MD Caroline Michel, MD Jean-Francois Morin, MD Mark J. Eisenberg, MD, MPH
author_sort	Eve Belzile-Dugas, MD
title	The Heart-Team Approach for the Treatment of Radiation-Induced Aortic Stenosis and Coronary Artery Disease: A Case ReportNovel Teaching Points
title_short	The Heart-Team Approach for the Treatment of Radiation-Induced Aortic Stenosis and Coronary Artery Disease: A Case ReportNovel Teaching Points
title_full	The Heart-Team Approach for the Treatment of Radiation-Induced Aortic Stenosis and Coronary Artery Disease: A Case ReportNovel Teaching Points
title_fullStr	The Heart-Team Approach for the Treatment of Radiation-Induced Aortic Stenosis and Coronary Artery Disease: A Case ReportNovel Teaching Points
title_full_unstemmed	The Heart-Team Approach for the Treatment of Radiation-Induced Aortic Stenosis and Coronary Artery Disease: A Case ReportNovel Teaching Points
title_sort	heart-team approach for the treatment of radiation-induced aortic stenosis and coronary artery disease: a case reportnovel teaching points
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/b4c8ebce99b84ee79e6a7f31dd15655a
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The Heart-Team Approach for the Treatment of Radiation-Induced Aortic Stenosis and Coronary Artery Disease: A Case ReportNovel Teaching Points

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