Abstract
Abstract A case of a 65-year-old female with Stage IIIA non-small cell lung cancer (NSCLC) who developed congestive heart failure after radiation therapy for mediastinum is described. The patient was diagnosed with unresectable Stage IIIA NSCLC (squamous cell carcinoma). She received chemotherapy and curative sequential radiotherapy with a dose of 60 Gy on the primary site and mediastinum. She developed dyspnea and chest-X ray demonstrated pleural effusion in the right thorax as of 75 months after radiation therapy. Cardiac ultrasonography revealed a left ventricular ejection fraction of 28% and wall motion diffuse hypokinesis. Coronary angiography showed no signs of coronary stenosis. According to the clinical course and test results, the patient was diagnosed with congestive heart failure due to radiation therapy.
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