Radiation induced valvulitis with late leaflet rupture.
Various cardiac sequelae of mediastinal irradiation have been reported, from pericarditis to conduction defects. Despite the potentially fatal nature of some of these abnormalities, many may present with few or no symptoms. In this case report, the patient, who had received 4000 rads to the mediastinum 24 years previously, presented with worsening shortness of breath and two episodes of lightheadedness. Subsequently, he was found to have aortic valve rupture associated with fibrosis. A review of the literature indicates that valve rupture is a novel consequence of mediastinal radiation.
Katz
N M
NM
Departments of Cardiology, Surgery, and Medicine, Georgetown University School of Medicine, 3800 Reservoir Road, NW, Washington, DC 20007, USA.
Hall
A W
AW
Cerqueira
M D
MD
D001021:Aortic Valve / Q000528:radiation effects*; D005355:Fibrosis; D006341:Heart Rupture / Q000209:etiology*; D006689:Hodgkin Disease / Q000532:radiotherapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D011832:Radiation Injuries / Q000209:etiology*; D011878:Radiotherapy / Q000009:adverse effects*