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Left atrial venoarterial extracorporeal membrane oxygenation strategy in postcardiotomy cardiogenic shock: A case series 左心房静脉动脉体外膜氧合策略治疗开胸手术后心源性休克:病例系列
Pub Date : 2024-08-08 DOI: 10.58464/2378-2706.1065
Daniel Manzur-Sandoval, G. Jiménez-Rodríguez, J. Elizalde-Silva, Meredith Fernanda Sánchez-Torres, Uriel Encarnación-Martínez, Cristhian Josué Gaytán-García, J. O. Salazar-Delgado, Guadalupe Lisseth Hernández-González, Gustavo Rojas-Velasco
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引用次数: 0
Late Cardiotoxicity from the Tyrosine Kinase Inhibitor, Dasatinib: Pleural Effusions, Pulmonary Arterial Hypertension, and Right Heart Failure 酪氨酸激酶抑制剂达沙替尼的晚期心脏毒性:胸腔积液、肺动脉高压和右心衰竭
Pub Date : 2024-02-19 DOI: 10.58464/2378-2706.1062
Mark Jay Zucker, Andrew M. Zucker
Despite the remarkable progress made over the past few decades in the management of patients with both solid and hematologic malignancies, radiation-and chemotherapy-related cardiotoxicity remains an ongoing problem. This is true even for newer highly targeted therapies, including tyrosine kinase inhibitors (TKIs). This report presents a case of late/severe right heart dysfunction secondary to pulmonary hypertension, developed after ten years of therapy with dasatinib. We also review the history of this known, but often unrecognized, and potentially reversible complication, and we suggest treatment options. Additionally, this case highlights the remarkable effectiveness of TKIs in patients with chronic myelogenous leukemia while also emphasizing the ever-present concern that even in the absence of clinical or laboratory evidence of residual leukemic disease, discontinuing chemotherapeutic agents may result in prompt recrudescence and death.
尽管过去几十年来在实体肿瘤和血液系统恶性肿瘤患者的治疗方面取得了长足的进步,但与放疗和化疗相关的心脏毒性仍是一个持续存在的问题。即使是较新的高度靶向疗法,包括酪氨酸激酶抑制剂(TKIs),情况也是如此。本报告介绍了一例晚期/严重右心功能不全继发肺动脉高压的病例,该病例是在使用达沙替尼治疗十年后出现的。我们还回顾了这种已知但往往未被认识到的潜在可逆并发症的历史,并提出了治疗方案。此外,本病例突出了 TKIs 对慢性髓性白血病患者的显著疗效,同时也强调了一个始终存在的问题,即即使没有临床或实验室证据显示白血病残留,停用化疗药物也可能导致病情迅速复发和死亡。
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引用次数: 0
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The VAD Journal
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