Chemotherapy-induced Takotsubo cardiomyopathy, a case report and review of the literature

BMC Cancer. 2017 Jun 2;17(1):394. doi: 10.1186/s12885-017-3384-4.

Abstract

Background: Several chemotherapy molecules, monoclonal antibodies and tyrosine kinase inhibitors, have been linked to Takotsubo cardiomyopathy (TC).

Case presentation: In this article, we describe the case of a 45-year-old woman who developed TC after receiving an intra-arterial and intra-venous polychemotherapy for locally advanced epidermoid carcinoma of the anal canal. This is the first described case of TC associated with intra-arterial chemotherapy.

Conclusions: A review of the literature points to 5-fluorouracil as the most common molecule associated with TC and highlights the potential risk associated with rechallenging patient with the same drug.

Keywords: Case report; Chemotherapy; Intra-arterial chemotherapy; Rechallenge; Takotsubo cardiomyopathy.

Publication types

  • Case Reports

MeSH terms

  • Anus Neoplasms / complications
  • Anus Neoplasms / drug therapy*
  • Anus Neoplasms / pathology
  • Carcinoma, Squamous Cell / complications
  • Carcinoma, Squamous Cell / drug therapy*
  • Carcinoma, Squamous Cell / pathology
  • Female
  • Fluorouracil / adverse effects
  • Humans
  • Middle Aged
  • Neoplasm Recurrence, Local / complications
  • Neoplasm Recurrence, Local / drug therapy*
  • Neoplasm Recurrence, Local / pathology
  • Takotsubo Cardiomyopathy / chemically induced
  • Takotsubo Cardiomyopathy / physiopathology*

Substances

  • Fluorouracil