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Stage-II thymoma and emergency coronary artery bypass. To irradiate or not to irradiate to avoid radiation induced vascular injury? Case report and literature review

dc.creatorKouerinis I.A., Tolia M., Zagouri F., Nikolaou M., Tsoukalas N., Kyrgias G., Dimopoulos M.A., Vlachopoulos C., Karathanassis I., Zoubouli C.K., Kokakis I., Kouloulias V., Triantafillou K.en
dc.date.accessioned2023-01-31T08:45:05Z
dc.date.available2023-01-31T08:45:05Z
dc.date.issued2017
dc.identifier.issn11070625
dc.identifier.urihttp://hdl.handle.net/11615/75257
dc.description.abstractPurpose: The purpose of this study was to present the controversial role of adjuvant radiotherapy to a 72-year-old male patient with Masaoka stage II thymoma and coronary artery bypass and to review the relevant literature. Methods: The data were collected by relevant studies on PubMed and EMBASE. Articles up to March 2017 were included. Results: Although the radiation-induced vascular injury to the internal thoracic artery and its suitability for grafting in a patient who is candidate for coronary artery bypass is documented, the possible catastrophic effect of adjuvant radiotherapy to existing grafts in a patient with prior bypass surgery has not been fully investigated. Conclusion: The application of radiotherapy in a patient with R0 stage II thymoma is currently considered of 2B level of evidence but its potential occlusive effect to an underlying coronary graft may dramatically affect the survival of the patient and accordingly drop the level of evidence of its use. © 2017 Zerbinis Publications. All rights reserved.en
dc.language.isoenen
dc.sourceJournal of B.U.ON.en
dc.source.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85045566597&partnerID=40&md5=ed22947f9221e9958fb08f8c4ddd525a
dc.subjectadjuvant radiotherapyen
dc.subjectageden
dc.subjectblood vessel injuryen
dc.subjectcancer radiotherapyen
dc.subjectcancer stagingen
dc.subjectcancer surgeryen
dc.subjectcase reporten
dc.subjectclinical articleen
dc.subjectclinical assessmenten
dc.subjectcomputer assisted tomographyen
dc.subjectcoronary artery bypass graften
dc.subjectEmbaseen
dc.subjectemergency surgeryen
dc.subjectextracorporeal circulationen
dc.subjectheart right ventricleen
dc.subjecthospital dischargeen
dc.subjecthumanen
dc.subjecthuman tissueen
dc.subjectinternal mammary arteryen
dc.subjectleft anterior descending coronary arteryen
dc.subjectmaleen
dc.subjectmediastinum tumoren
dc.subjectmedical historyen
dc.subjectMedlineen
dc.subjectpositron emission tomographyen
dc.subjectpostoperative careen
dc.subjectradiation injuryen
dc.subjectReviewen
dc.subjectsaphenous veinen
dc.subjectsternotomyen
dc.subjecttherapy effecten
dc.subjectthoracic arteryen
dc.subjectthorax radiographyen
dc.subjectthymomaen
dc.subjecttricuspid valve stenosisen
dc.subjecttumor biopsyen
dc.subjectvascular diseaseen
dc.subjectvein graften
dc.subjectX rayen
dc.subjectadjuvant radiotherapyen
dc.subjectcoronary artery bypass graften
dc.subjectemergencyen
dc.subjectproceduresen
dc.subjectthymomaen
dc.subjecttreatment outcomeen
dc.subjectAgeden
dc.subjectCoronary Artery Bypassen
dc.subjectEmergenciesen
dc.subjectHumansen
dc.subjectMaleen
dc.subjectNeoplasm Stagingen
dc.subjectRadiotherapy, Adjuvanten
dc.subjectThymomaen
dc.subjectTreatment Outcomeen
dc.subjectZerbinis Publicationsen
dc.titleStage-II thymoma and emergency coronary artery bypass. To irradiate or not to irradiate to avoid radiation induced vascular injury? Case report and literature reviewen
dc.typeotheren


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