5-fluorouracil-induced coronary vasospasm: A cardiovascular magnetic resonance imaging case report

Authors

  • Kelly Garbis McGill University Health Center
  • Moezedin Javad Rafiee The Research Institute of the McGill University Health Center
  • Judy Luu The Research Institute of the McGill University Health Center

DOI:

https://doi.org/10.21542/gcsp.2023.16

Abstract

We report the case of a 45-year old male with metastatic colon cancer who presented with chest pain and transient diffuse ST-segment elevation on electrocardiogram after his third cycle of FOLFOX (folinic acid, fluorouracil, oxaliplatin). Initial transthoracic echocardiogram showed reduced left ventricular ejection fraction of 35% with mildly elevated troponins. Further investigations with cardiovascular magnetic resonance imaging demonstrated recovery of left ventricular function with evidence suggestive of coronary vasospasm. This case report will review the utility of cardiovascular magnetic imaging in the evaluation of underlying etiologies for myocardial injury in patients with low likelihood of obstructive coronary artery disease.

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Published

2023-06-27

Issue

Vol. 2023 No. 3 (2023)

Section

Images in cardiology

License

Copyright (c) 2023 Kelly Garbis, Judy Luu, Moezedin Javad Rafiee

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

This is an open access article distributed under the terms of the Creative Commons Attribution license CC BY 4.0, which permits unrestricted use, distribution and reproduction in any medium, provided the original work is properly cited.