Arterial occlusive disease complicating radiation therapy of cervical cancer.
Radiation-induced arterial disease is caused by significant atherosclerosis in the circumjacent vessels being irradiated. Even though this has been recognized as survival of cancer patients treated with radiotherapy improves, it is a problem that is often under-reported. We present a case of chronic thromboembolic occlusion of right common iliac artery in a 53-year-old woman who was treated with radiation therapy for cervical cancer 13 years ago. We initially performed percutaneous transluminal angioplasty with thrombolytic therapy, but had to cease thrombolytic therapy due to upper gastrointestinal bleeding of Dieulafoy's lesion, nevertheless, achieved good results after revascularization by Fogarty embolectomy.
Division of Cardiology, Department of Internal Medicine, Severance Cardiovascular Hospital, Yonsei University College of Medicine, 50 Yonsei-ro, Seodaemun-gu, Seoul, Korea.
Ki-Bum
KB
Won
Byeong-Keuk
BK
Kim
Young-Guk
YG
Ko
Myeong-Ki
MK
Hong
Donghoon
D
Choi
Yangsoo
Y
Jang
D001157:Arterial Occlusive Diseases / Q000209:etiology*; D005260:Female; D006801:Humans; D008875:Middle Aged; D011878:Radiotherapy / Q000295:instrumentation*; D002583:Uterine Cervical Neoplasms / Q000532:radiotherapy*