Surgery for Patients with Radiation-Induced Constrictive Pericarditis

Authors

  • Shixiong Wei Department of Cardiovascular Surgery, PLA General Hospital, Institute of Cardiac Surgery, Beijing, China
  • Lin Zhang Department of Cardiovascular Surgery, PLA General Hospital, Institute of Cardiac Surgery, Beijing, China
  • Huimin Cui Department of Cardiovascular Surgery, PLA General Hospital, Institute of Cardiac Surgery, Beijing, China
  • Lianggang Li Department of Cardiovascular Surgery, PLA General Hospital, Institute of Cardiac Surgery, Beijing, China
  • Tong Ren Department of Cardiovascular Surgery, PLA General Hospital, Institute of Cardiac Surgery, Beijing, China
  • Shengli Jiang Department of Cardiovascular Surgery, PLA General Hospital, Institute of Cardiac Surgery, Beijing, China

DOI:

https://doi.org/10.1532/hsf.2501

Keywords:

Constrictive pericarditis; Pericardiectomy; Radiotherapy

Abstract

Radiation-induced heart disease (RIHD) is a major side effect of chest radiation therapy (RT). Most changes of pericardium will occur within a few weeks after receiving chest RT, while most of them will take decades or more to become constrictive pericarditis. Pericardiectomy is an effective treatment method. Here, we report 2 cases of radiation pericarditis after chest RT at our center.

References

Barbetakis N, Xenikakis T, Paliouras D, Asteriou C, Samanidis G, Kleontas A, Lafaras C, Platogiannis D, Bischiniotis T, Tsilikas C. 2010. Pericardiectomy for radiation-induced constrictive pericarditis. Hellenic J Cardiol 51:214–218.

Bhattacharya S, Asaithamby A. 2016. Ionizing radiation and heart risks. Semin Cell Dev Biol 58:14-25.

Busch C, Penov K, Amorim PA, Garbade J, Davierwala P, Schuler GC, et al. 2015. Risk factors for mortality after pericardiectomy for chronic constrictive pericarditis in a large single-centre cohort. Eur J Cardiothorac Surg. 48:110–6.

Cohn KE, Stewart JR, Fajardo LF, Hancock EW. 1967. Heart disease following radiation. Medicine (Baltimore) 46:281–298.

Curigliano G, Cardinale D, Suter T, Plataniotis G, de Azambuja E, Sandri MT, Criscitiello C, Goldhirsch A, Cipolla C, Roila F, Group EGW. 2012. Cardiovascular toxicity induced by chemotherapy, targeted agents and radiotherapy: ESMO Clinical Practice Guidelines. Ann Oncol 23(Suppl. 7):vii155–vii166.

Cutter DJ, Darby SC, Yusuf SW. 2011. Risks of heart disease after radiotherapy. Tex Heart Inst J 38:257–258.

Darby SC, Cutter DJ, Boerma M, Constine LS, Fajardo LF, Kodama K, Mabuchi K, Marks LB, Mettler FA, Pierce LJ, Trott KR, Yeh ET, Shore RE. 2010. Radiation-related heart disease: current knowledge and future prospects. Int J Radiat Oncol Biol Phys 76:656–665.

Di Matteo J, Vacheron A, Heulin A, Meeus L, Di Matteo G, Gilles R, Delage F, de Ratuld A. 1978. Cardiac complications of thoracic radiotherapy. Arch Mal Coeur Vaiss 71:447–452.

Ertog SC, Thambidorai SK, Parakh K, Schoenhagen P, Ozduran V, Houghtaling PL, Lytle BW, Blackstone EH, Lauer MS, Klein AL. 2004. Constrictive pericarditis: etiology and cause-specific survival after pericardiectomy. J Am Coll Cardiol 43:1445–1452.

Groarke JD, Nguyen PL, Nohria A, Ferrari R, Cheng S, Moslehi J. 2014. Cardiovascular complications of radiation therapy for thoracic malignancies: the role for non-invasive imaging for detection of cardiovascular disease. Eur Heart J 35 (10):612-23.

John D. Groarke, Paul L. Nguyen, Anju Nohria, et al. 2014. Cardiovascular complications of radiation therapy for thoracic malignancies: the role for non-invasive imaging for detection of cardiovascular disease.European Heart Journal 35, 612–623.

Khandaker MH, Espinosa RE, Nishimura RA, Sinak LJ, Hayes SN, Melduni RM, Oh JK. 2010. Pericardial disease: diagnosis and management. Mayo Clin Proc 85: 572–593.

Ling LH, Oh JK, Schaff HV, Danielson GK, Mahoney DW, Seward JB, Tajik AJ. 1999. Constrictive pericarditis in the modern era: evolving clinical spectrum and impact on outcome after pericardiectomy. Circulation 100:1380–1386.

Madan R, Benson R, Sharma D, et al. 2015. Radiation induced heart disease: pathogenesis, management and review literature. J Egypt Natl Canc Inst 27:187–93.

Maisch B, Seferović PM, Ristić AD, Erbel R, Rienmüller R, Adler Y, et al. 2004. Guidelines on the Diagnosis and Management of Pericardial Diseases. Eur Heart J. 25:587–610.

Napolitano G, Pressacco J, Paquet E. 2009. Imaging features of constrictive pericarditis: beyond pericardial thickening. Can Assoc Radiol J 60:40–46.

National Comprehensive Cancer Network. 2012. Clinical Practice Guidelines in Oncology: Hodgkins Lymphoma Version 2.2012.

Stewart FA, Seemann I, Hoving S, Russell NS. 2013. Understanding radiation-induced cardiovascular damage and strategies for intervention. Clin Oncol (R Coll Radiol) 25(10):617-24.

Veinot JP, Edwards WD. 1996. Pathology of radiation-induced heart disease: a surgical and autopsy study of 27 cases. Hum Pathol. 27:766–73.

Yared K, Baggish AL, Picard MH, Hoffmann U, Hung J. 2010. Multimodality imaging of pericardial diseases. JACC Cardiovasc Imaging 3:650–660.

Yusuf SW, Sami S, Daher IN. 2011. Radiation-induced heart disease: a clinical update. Cardiol Res Pract 317659.

Published

2019-12-03

How to Cite

Wei, S., Zhang, L., Cui, H., Li, L., Ren, T., & Jiang, S. (2019). Surgery for Patients with Radiation-Induced Constrictive Pericarditis. The Heart Surgery Forum, 22(6), E466-E469. https://doi.org/10.1532/hsf.2501

Issue

Section

Article