title: Radiation Therapy-Induced Cardiovascular Disease Treated by a Percutaneous Approach.
abstract: We report the case of a 51-year-old woman, treated with radiotherapy at the age of two years, for a pulmonary sarcoma. Subsequently she developed severe aortic stenosis and bilateral ostial coronary artery disease, symptomatic for dyspnea (NYHA III functional class). Due to the prohibitive surgical risk, she underwent successful stenting in the right coronary artery and left main ostia with drug eluting stents and, afterwards, transcatheter aortic valve replacement with transfemoral implantation of a 23 mm Edwards SAPIEN XT valve. The percutaneous treatment was successful without complications and the patient is in NYHA II functional class at 2 years' follow-up, fully carrying out normal daily activities.
authors.affiliation: Cardiovascular Department, Papa Giovanni XXIII Hospital, 24127 Bergamo, Italy.
authors.forename: Luigi
authors.initials: L
authors.lastname: Fiocca
authors.affiliation: Cardiovascular Department, Papa Giovanni XXIII Hospital, 24127 Bergamo, Italy.
authors.forename: Micol
authors.initials: M
authors.lastname: Coccato
authors.affiliation: Cardiovascular Department, Papa Giovanni XXIII Hospital, 24127 Bergamo, Italy.
authors.forename: Vasile
authors.initials: V
authors.lastname: Sirbu
authors.affiliation: Cardiovascular Department, Papa Giovanni XXIII Hospital, 24127 Bergamo, Italy.
authors.forename: Angelina
authors.initials: A
authors.lastname: Vassileva
authors.affiliation: Cardiovascular Department, Papa Giovanni XXIII Hospital, 24127 Bergamo, Italy.
authors.forename: Giulio
authors.initials: G
authors.lastname: Guagliumi
authors.affiliation: Cardiovascular Department, Papa Giovanni XXIII Hospital, 24127 Bergamo, Italy.
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Musumeci
authors.affiliation: Cardiovascular Department, Papa Giovanni XXIII Hospital, 24127 Bergamo, Italy.
authors.forename: Amedeo
authors.initials: A
authors.lastname: Terzi
authors.affiliation: Cardiovascular Department, Papa Giovanni XXIII Hospital, 24127 Bergamo, Italy.
authors.forename: Gianluca
authors.initials: G
authors.lastname: Canu
authors.affiliation: Anesthesia and Intensive Care Department, Papa Giovanni XXIII Hospital, 24127 Bergamo, Italy.
authors.forename: Elisa
authors.initials: E
authors.lastname: Cerchierini
authors.affiliation: Cardiovascular Department, Papa Giovanni XXIII Hospital, 24127 Bergamo, Italy.
authors.forename: Diego
authors.initials: D
authors.lastname: Cugola
authors.affiliation: Cardiovascular Department, Papa Giovanni XXIII Hospital, 24127 Bergamo, Italy.
authors.forename: Orazio
authors.initials: O
authors.lastname: Valsecchi