Recurrent Coronary Artery Vasospasm in a Patient with Hepatocellular Carcinoma Treated with Sorafenib: a Case Report and Literature Review.

Dae Hyun Lim, Jai Hoon Yoon, Dae Won Jun, Oh Young Lee, Byung Chul Yoon, Hang Rak Lee, Kyung Soo Kim, Ho Soon Choi
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Abstract

Tyrosine kinase inhibitors are widely used as targeted treatments for various malignancies. Sorafenib is an orally active tyrosine kinase inhibitor that blocks the signaling pathways of several growth factors. Its use is approved for various malignancies such as unresectable hepatocellular carcinoma, renal cell carcinoma, and gastrointestinal stromal tumors. Several adverse effects have been reported in the literature; however, cardiotoxicity is rare. We present a case of recurrent coronary vasospasm caused by short-term administration (5 days) of sorafenib. Since it caused refractory ischemia after re-administration, we had no choice but to stop the treatment.

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索拉非尼治疗肝细胞癌患者复发性冠状动脉血管痉挛1例报告及文献复习。
酪氨酸激酶抑制剂广泛用于多种恶性肿瘤的靶向治疗。索拉非尼是一种口服活性酪氨酸激酶抑制剂,可阻断几种生长因子的信号通路。它被批准用于各种恶性肿瘤,如不可切除的肝细胞癌、肾细胞癌和胃肠道间质瘤。文献中已经报道了一些不良反应;然而,心脏毒性是罕见的。我们报告一例复发性冠状血管痉挛引起的短期管理(5天)索拉非尼。由于再次给药后引起顽固性缺血,我们只能停止治疗。
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