Skip to main content
Erschienen in: Wiener klinische Wochenschrift 7-8/2017

01.04.2017 | case report

Restrictive cardiomyopathy

Delayed occurrence after radiotherapy of breast cancer

verfasst von: Barbara Bellmann, MD, Brunilda Alushi, Boris Bigalke, Ulf Landmesser, Andreas J. Morguet

Erschienen in: Wiener klinische Wochenschrift | Ausgabe 7-8/2017

Einloggen, um Zugang zu erhalten

Summary

A 74-year-old female patient was referred to our department in 2015 with dyspnea, cough and dysphagia. She had been diagnosed with adenocarcinoma of the right breast in 1986 and underwent mastectomy. When she presented with a local recurrence in 1988, she was receiving high-voltage radiation therapy. Transthoracic echocardiography and magnetic resonance imaging revealed tricuspid regurgitation grade III and unclear right heart failure with a massively dilated right atrium. Coronary heart disease could be ruled out. In summary, the patient’s findings represented right ventricular myocardial restriction which we attributed to irradiation of the right anterior chest 17 years previously.
Literatur
1.
Zurück zum Zitat Ammash NM, Seward JB, Bailey KR, Edwards WD, Tajik AJ. Clinical profile and outcome of idiopathic restrictive cardiomyopathy. Circulation. 2000;101:2490–6.CrossRefPubMed Ammash NM, Seward JB, Bailey KR, Edwards WD, Tajik AJ. Clinical profile and outcome of idiopathic restrictive cardiomyopathy. Circulation. 2000;101:2490–6.CrossRefPubMed
2.
Zurück zum Zitat Garcia MJ. Constrictive pericarditis versus restrictive cardiomyopathy? J Am Coll Cardiol. 2016;67:2061–76.CrossRefPubMed Garcia MJ. Constrictive pericarditis versus restrictive cardiomyopathy? J Am Coll Cardiol. 2016;67:2061–76.CrossRefPubMed
3.
Zurück zum Zitat Nihoyannopoulos P, Dawson D. Restrictive cardiomyopathies. Eur J Echocardiogr. 2009;10:23–33.CrossRef Nihoyannopoulos P, Dawson D. Restrictive cardiomyopathies. Eur J Echocardiogr. 2009;10:23–33.CrossRef
4.
Zurück zum Zitat Shah S, Nohria A. Advanced heart failure due to cancer therapy. Curr Cardiol Rep. 2015;17:16.CrossRefPubMed Shah S, Nohria A. Advanced heart failure due to cancer therapy. Curr Cardiol Rep. 2015;17:16.CrossRefPubMed
5.
Zurück zum Zitat Darby SC, Ewertz M, Hall P. Ischemic heart disease after breast cancer radiotherapy. N Engl J Med. 2013;368:2527.CrossRefPubMed Darby SC, Ewertz M, Hall P. Ischemic heart disease after breast cancer radiotherapy. N Engl J Med. 2013;368:2527.CrossRefPubMed
6.
Zurück zum Zitat Aleman BM, van den Belt-Dusebout AW, De Bruin ML, van’t Veer MB, Baaijens MH, de Boer JP, Hart AA, Klokman WJ, Kuenen MA, Ouwens GM, Bartelink H, van Leeuwen FE. Late cardiotoxicity after treatment for Hodgkin lymphoma. Blood. 2007;109:1878–86.CrossRefPubMed Aleman BM, van den Belt-Dusebout AW, De Bruin ML, van’t Veer MB, Baaijens MH, de Boer JP, Hart AA, Klokman WJ, Kuenen MA, Ouwens GM, Bartelink H, van Leeuwen FE. Late cardiotoxicity after treatment for Hodgkin lymphoma. Blood. 2007;109:1878–86.CrossRefPubMed
7.
Zurück zum Zitat Heidenreich PA, Hancock SL, Vagelos RH, Lee BK, Schnittger I. Diastolic dysfunction after mediastinal irradiation. Am Heart J. 2005;150:977–82.CrossRefPubMed Heidenreich PA, Hancock SL, Vagelos RH, Lee BK, Schnittger I. Diastolic dysfunction after mediastinal irradiation. Am Heart J. 2005;150:977–82.CrossRefPubMed
8.
Zurück zum Zitat Vallebona A. Cardiac damage following therapeutic chest irradiation. Importance, evaluation and treatment. Minerva Cardioangiol. 2000;48:79–87.PubMed Vallebona A. Cardiac damage following therapeutic chest irradiation. Importance, evaluation and treatment. Minerva Cardioangiol. 2000;48:79–87.PubMed
9.
Zurück zum Zitat Ling LH, Oh JK, Breen JF, Schaff HV, Danielson GK, Mahoney DW, Seward JB, Tajik AJ. Calcific constrictive pericarditis: is it still with us? Ann Intern Med. 2000;132:444–50.CrossRefPubMed Ling LH, Oh JK, Breen JF, Schaff HV, Danielson GK, Mahoney DW, Seward JB, Tajik AJ. Calcific constrictive pericarditis: is it still with us? Ann Intern Med. 2000;132:444–50.CrossRefPubMed
10.
Zurück zum Zitat Talreja DR, Edwards WD, Danielson GK, Schaff HV, Tajik AJ, Tazelaar HD, Breen JF, Oh JK. Constrictive pericarditis in 26 patients with histologically normal pericardial thickness. Circulation. 2003;108:1852–7.CrossRefPubMed Talreja DR, Edwards WD, Danielson GK, Schaff HV, Tajik AJ, Tazelaar HD, Breen JF, Oh JK. Constrictive pericarditis in 26 patients with histologically normal pericardial thickness. Circulation. 2003;108:1852–7.CrossRefPubMed
11.
Zurück zum Zitat Masui T, Finck S, Higgins CB. Constrictive pericarditis and restrictive cardiomyopathy: evaluation with MR imaging. Radiology. 1992;182:369–73.CrossRefPubMed Masui T, Finck S, Higgins CB. Constrictive pericarditis and restrictive cardiomyopathy: evaluation with MR imaging. Radiology. 1992;182:369–73.CrossRefPubMed
12.
Zurück zum Zitat Cheng H, Zhao S, Jiang S, Lu M, Yan C, Ling J, Zhang Y, Liu Q, Ma N, Yin G, Jerecic R, He Z. The relative atrial volume ratio and late gadolinium enhancement provide additive information to differentiate constrictive pericarditis from restrictive cardiomyopathy. J Cardiovasc Magn Reson. 2011;13:15.CrossRefPubMedPubMedCentral Cheng H, Zhao S, Jiang S, Lu M, Yan C, Ling J, Zhang Y, Liu Q, Ma N, Yin G, Jerecic R, He Z. The relative atrial volume ratio and late gadolinium enhancement provide additive information to differentiate constrictive pericarditis from restrictive cardiomyopathy. J Cardiovasc Magn Reson. 2011;13:15.CrossRefPubMedPubMedCentral
13.
Zurück zum Zitat Orzan F, Brusca A. Radiation-induced constrictive pericarditis. Associated cardiac lesions, therapy and follow-up. G Ital Cardiol. 1994;24:817–23.PubMed Orzan F, Brusca A. Radiation-induced constrictive pericarditis. Associated cardiac lesions, therapy and follow-up. G Ital Cardiol. 1994;24:817–23.PubMed
14.
Zurück zum Zitat Fritschi S, Prothmann M, Schulz-Menger J. Hypertrophic and restrictive cardio-myopathy. Differentiation by imaging. Herz. 2015;40:591–9.CrossRefPubMed Fritschi S, Prothmann M, Schulz-Menger J. Hypertrophic and restrictive cardio-myopathy. Differentiation by imaging. Herz. 2015;40:591–9.CrossRefPubMed
15.
Zurück zum Zitat DePasquale EC, Nasir K, Jacoby DL. Outcomes of adults with restrictive cardiomyopathy after heart transplantation. J Heart Lung Transplant. 2012;31:1269–75.CrossRefPubMed DePasquale EC, Nasir K, Jacoby DL. Outcomes of adults with restrictive cardiomyopathy after heart transplantation. J Heart Lung Transplant. 2012;31:1269–75.CrossRefPubMed
16.
Zurück zum Zitat MacGowan GA. The challenge of radiation-induced restrictive cardio-myopathy and outcomes after heart transplantation. J Card Fail. 2016;22:479–80.CrossRefPubMed MacGowan GA. The challenge of radiation-induced restrictive cardio-myopathy and outcomes after heart transplantation. J Card Fail. 2016;22:479–80.CrossRefPubMed
17.
Zurück zum Zitat Saxena P, Joyce LD, Daly RC, Kushwaha SS, Schirger JA, Rosedahl J, Dearani JA, Kara T, Edwards BS. Cardiac transplantation for radiation-induced cardiomyopathy: the Mayo Clinic experience. Ann Thorac Surg. 2014;98:2115–21.CrossRefPubMed Saxena P, Joyce LD, Daly RC, Kushwaha SS, Schirger JA, Rosedahl J, Dearani JA, Kara T, Edwards BS. Cardiac transplantation for radiation-induced cardiomyopathy: the Mayo Clinic experience. Ann Thorac Surg. 2014;98:2115–21.CrossRefPubMed
18.
Zurück zum Zitat Al-Kindi SG, Oliveira GH. Heart transplantation outcomes in radiation-induced restrictive cardiomyopathy. J Card Fail. 2016;22:475–8.CrossRefPubMed Al-Kindi SG, Oliveira GH. Heart transplantation outcomes in radiation-induced restrictive cardiomyopathy. J Card Fail. 2016;22:475–8.CrossRefPubMed
19.
Zurück zum Zitat Hong L, Hunt M, Chui CS, Spirou S, Forster K, Lee H, Yahalom J, Kutcher GJ, McCormick B. Intensity-modulated tangential beam irradiation of the intact breast. Int J Radiat Oncol Biol Phys. 1999;44:1155–64.CrossRefPubMed Hong L, Hunt M, Chui CS, Spirou S, Forster K, Lee H, Yahalom J, Kutcher GJ, McCormick B. Intensity-modulated tangential beam irradiation of the intact breast. Int J Radiat Oncol Biol Phys. 1999;44:1155–64.CrossRefPubMed
20.
Zurück zum Zitat Remouchamps VM, Vicini FA, Sharpe MB, Kestin LL, Martinez AA, Wong JW. Significant reduction in heart and lung doses using deep inspiration breath hold with active breathing control and intensity-modulated radiation therapy for patients treated with locoregional breast irradiation. Int J Radiat Oncol Biol Phys. 2003;55:392–406.CrossRefPubMed Remouchamps VM, Vicini FA, Sharpe MB, Kestin LL, Martinez AA, Wong JW. Significant reduction in heart and lung doses using deep inspiration breath hold with active breathing control and intensity-modulated radiation therapy for patients treated with locoregional breast irradiation. Int J Radiat Oncol Biol Phys. 2003;55:392–406.CrossRefPubMed
21.
Zurück zum Zitat Henson KE, McGale P, Taylor C, Darby SC. Radiation-related mortality from heart disease and lung cancer more than 20 years after radiotherapy for breast cancer. Br J Cancer. 2013;108:179–82.CrossRefPubMed Henson KE, McGale P, Taylor C, Darby SC. Radiation-related mortality from heart disease and lung cancer more than 20 years after radiotherapy for breast cancer. Br J Cancer. 2013;108:179–82.CrossRefPubMed
Metadaten
Titel
Restrictive cardiomyopathy
Delayed occurrence after radiotherapy of breast cancer
verfasst von
Barbara Bellmann, MD
Brunilda Alushi
Boris Bigalke
Ulf Landmesser
Andreas J. Morguet
Publikationsdatum
01.04.2017
Verlag
Springer Vienna
Erschienen in
Wiener klinische Wochenschrift / Ausgabe 7-8/2017
Print ISSN: 0043-5325
Elektronische ISSN: 1613-7671
DOI
https://doi.org/10.1007/s00508-016-1113-7

Weitere Artikel der Ausgabe 7-8/2017

Wiener klinische Wochenschrift 7-8/2017 Zur Ausgabe