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Recurrent Coronary Artery Vasospasm in a Patient with Hepatocellular Carcinoma Treated with Sorafenib: a Case Report and Literature Reviewopen access

Authors
Lim, Dae HyunYoon, Jai HoonJun, Dae WonLee, Oh YoungYoon, Byung ChulLee, Hang RakKim, Kyung SooChoi, Ho Soon
Issue Date
Mar-2020
Publisher
The Korean Liver Cancer Association
Keywords
Sorafenib; Coronary artery vasospasm; Variant angina; Tyrosine kinase inhibitor; Vascular endothelial growth factor inhibitor
Citation
Journal of Liver Cancer, v.20, no.1, pp.67 - 71
Indexed
KCI
Journal Title
Journal of Liver Cancer
Volume
20
Number
1
Start Page
67
End Page
71
URI
https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/10692
DOI
10.17998/jlc.20.1.67
ISSN
2288-8128
Abstract
Tyrosine kinase inhibitors are widely used as targeted treatments for various malignancies. Sorafenib is an orally active tyrosine kinase inhibitor that blocks the signaling pathways of several growth factors. Its use is approved for various malignancies such as unresectable hepatocellular carcinoma, renal cell carcinoma, and gastrointestinal stromal tumors. Several adverse effects have been reported in the literature; however, cardiotoxicity is rare. We present a case of recurrent coronary vasospasm caused by short-term administration (5 days) of sorafenib. Since it caused refractory ischemia after re-administration, we had no choice but to stop the treatment.
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