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Main Authors: Seyyar, Mustafa, Can Şancı, Pervin, Çabuk, Devrim
Format: Recurso digital
Language:English
Published: Zenodo 2025
Subjects:
Online Access:https://doi.org/10.5281/zenodo.15570010
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author Seyyar, Mustafa
Can Şancı, Pervin
Çabuk, Devrim
author_facet Seyyar, Mustafa
Can Şancı, Pervin
Çabuk, Devrim
contents <p>We report a case of a 49-year-old female with HER2-positive metastatic breast cancer treated with trastuzumab deruxtecan (T-DXd) after progression on multiple prior lines of therapy. Following the third cycle, she developed dyspnea and was admitted to the coronary intensive care unit with heart failure and pulmonary edema. Echocardiography revealed an ejection fraction (EF) of 10-15%. Imaging demonstrated unilateral pleural effusion and bilateral pulmonary infiltrates. Clinical findings were attributed to T-DXd-induced heart failure, bicytopenia, and pneumonitis. The patient responded well to corticosteroid therapy, showing resolution of pulmonary findings and an improved EF (30-35%) over two weeks. This case highlights the importance of monitoring and managing cardiopulmonary adverse events in patients receiving T-DXd.</p>
format Recurso digital
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language eng
publishDate 2025
publisher Zenodo
record_format zenodo
spellingShingle Management of Trastuzumab Deruxtecan-Induced Heart Failure and Pneumonitis in a Patient with HER2-Positive Metastatic Breast Cancer
Seyyar, Mustafa
Can Şancı, Pervin
Çabuk, Devrim
Receptor, ErbB-2
Trastuzumab Deruxtecan
Heart Failure
Pneumonitis
Steroids
<p>We report a case of a 49-year-old female with HER2-positive metastatic breast cancer treated with trastuzumab deruxtecan (T-DXd) after progression on multiple prior lines of therapy. Following the third cycle, she developed dyspnea and was admitted to the coronary intensive care unit with heart failure and pulmonary edema. Echocardiography revealed an ejection fraction (EF) of 10-15%. Imaging demonstrated unilateral pleural effusion and bilateral pulmonary infiltrates. Clinical findings were attributed to T-DXd-induced heart failure, bicytopenia, and pneumonitis. The patient responded well to corticosteroid therapy, showing resolution of pulmonary findings and an improved EF (30-35%) over two weeks. This case highlights the importance of monitoring and managing cardiopulmonary adverse events in patients receiving T-DXd.</p>
title Management of Trastuzumab Deruxtecan-Induced Heart Failure and Pneumonitis in a Patient with HER2-Positive Metastatic Breast Cancer
topic Receptor, ErbB-2
Trastuzumab Deruxtecan
Heart Failure
Pneumonitis
Steroids
url https://doi.org/10.5281/zenodo.15570010