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Radiation-Induced Pan-Valvular Involvement: A Rare Case Report.
Hardeep Kaur Grewal1, Shyam Bisht2, Manish Bansal1
1Department of Cardiology, Medanta-The Medicity, Gurgaon, Haryana, India.
Radiation therapy for thoracic cancers can lead to radiation-associated valve disease (RAVD) years later. This report details a rare case of a patient experiencing severe RAVD affecting all four heart valves after prior breast cancer radiotherapy.
Area of Science:
- Cardiology
- Oncology
- Radiology
Background:
- Radiotherapy is a crucial treatment for thoracic malignancies.
- Long-term complications include radiation-associated valve disease (RAVD).
Observation:
- A patient with a history of radiotherapy for breast cancer, 30 years prior.
- Presented with clinically significant RAVD.
Findings:
- The patient exhibited RAVD involving all four cardiac valves.
- Simultaneous, multi-valve involvement in RAVD is exceptionally rare.
Implications:
- Highlights the potential for delayed, severe cardiac complications following radiotherapy.
- Emphasizes the need for long-term cardiovascular surveillance in radiation-treated patients.
- Suggests further research into the mechanisms and management of extensive RAVD.
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