[成功经皮治疗一名 IV 期非小细胞肺癌幸存者的复杂心脏病]。

IF 0.7 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Giornale italiano di cardiologia Pub Date : 2024-10-01 DOI:10.1714/4336.43217
Davide Bosi, Pierluigi Demola, Giulia Alberti, Sergio Musto D'Amore, Mario Larocca, Vincenzo Guiducci, Carmine Pinto, Alessandro Navazio, Luigi Tarantini
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引用次数: 0

摘要

转移性癌症是治疗需要手术或经皮手术的心脏病的高危因素。我们报告了一例 58 岁男性患者的病例,他患有肺腺癌和肾转移瘤,在接受化疗和免疫治疗后存活了 3 年多,由于 99% 的冠状动脉前段狭窄伴有双尖瓣主动脉瓣严重狭窄,导致呼吸困难和轻微用力时胸痛。我们分两步治疗心脏病变,先进行冠状动脉血管成形术,植入药物洗脱支架,然后进行经皮人工主动脉瓣置换术。手术非常成功,患者的症状得到了缓解,恢复了正常的 ECOG-PS 0-1 功能。该病例表明,肿瘤学家和心脏病学家之间的多学科合作,以及以患者为中心的个性化方法,能够成功治疗新出现的转移性癌症患者的复杂临床情况。
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[Successful percutaneous treatment of complex heart disease in a stage IV non-small cell lung cancer survivor].

The presence of metastatic cancer represents a high-risk condition for the treatment of heart disease requiring surgical or percutaneous procedures. We present the case of a 58-year-old man with pulmonary adenocarcinoma and renal metastases surviving more than 3 years after chemotherapy and immunotherapy suffering dyspnea and chest pain on minimal exertion due to 99% anterior coronary artery stenosis associated with severe aortic stenosis of a bicuspid valve. We treated the cardiac lesions in two steps by coronary angioplasty with drug-eluting stent implantation followed by percutaneous prosthetic aortic valve replacement. The procedures were successful with resolution of the symptoms and recovery of the usual ECOG-PS 0-1 functional capacity which persists 24 months after cardiac procedures. This case demonstrates that the multidisciplinary collaboration between oncologists and cardiologists with a personalized patient-centered approach allows to treat complex clinical situations successfully in the emerging category of patients surviving with metastatic cancer.

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Giornale italiano di cardiologia
Giornale italiano di cardiologia CARDIAC & CARDIOVASCULAR SYSTEMS-
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