Open AccessRefractory recurrent bleeding as a late mortal complication of chest wall irradiation
Author(s) -
Leonardo Gilardi
Publication year - 2011
Publication title -
annals of thoracic medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.639
H-Index - 33
eISSN - 1817-1737
pISSN - 1998-3557
DOI - 10.4103/1817-1737.82450
Subject(s) - medicine , radiation therapy , complication , embolization , surgery , refractory (planetary science) , radiology , thoracic wall , arteriovenous fistula , astrobiology , physics
Radiation therapy is used to treat breast malignancies. Old external radiotherapy protocols included high-dose schedules and were associated with late complications. We describe the case of a 72-year-old woman who was admitted with recurrent bleeding from chest wall. Arteriovenous fistulae were diagnosed. Embolization therapy was initially successful, even though the bleeding episodes became recurrent. Arteriovenous fistulae should be included among differential diagnosis of thoracic bleeding in patients with history of local radiation therapy. The prognosis is poor and endovascular treatment may be considered a first-line treatment.