Abstract
A 12-year-old boy with aplastic anemia developed severe but reversible cardiac failure after treatment with 200 mg/kg cyclophosphamide (4×50 mg/kg on four consecutive days) given as preparation for bone marrow grafting. This and previously reported cases demonstrate the possibility of cardiotoxicity after high doses of the drug.
Similar content being viewed by others
References
Appelbaum, F. R., Strauchen, J. A., Graw, R. G. Jr., Savage D. D., Kent, K. M., Ferrans, V. J., Herzig, G. P.: Acute lethal carditis caused by high-dose combination chemotherapy. A unique clinical and pathological entity. Lancet 1976I, 58–62
Buckner, C. D., Rudolph, R. H., Fefer, A., Clift, R. A., Ebstein, R. B., Funk, D. D., Neiman, P. E., Slichter, S. J., Storb, R., Thomas, E. D.: Highdose cyclophosphamide therapy for malignant disease. Cancer 29, 357–365 (1972)
Buckner, C. D., Clift, R. A., Fefer, A., Funk, D. D., Glucksberg, H., Ramberg, R. E., Storb, R., Thomas, E. D.: Aplastic anemia treated by marrow transplantation. Transplantation Proc. V, 913–916 (1973)
Buckner, C. D., Clift, R. A., Fefer, A., Funk, D. D., Glucksberg, H., Neiman, P. E., Paulsen, A., Storb, R., Thomas, E. D.: High-dose cyclophosphamide (NSC-26271) for the treatment of metastatic testicular neoplasms. Cancer Chemother. Rep. 58, 709–714 (1974)
Buckner, C. D., Briggs, R., Clift, R. A., Fefer, A., Funk, D. D., Glucksberg, H., Neiman, P. E., Storb, R., Thomas, E. D.: Intermittent high-dose cyclophosphamide (NSC-26271) treatment of stage III ovarian carcinoma. Cancer chemother. Rep. 58, 697–703 (1974)
Buja, L. M., Ferrans, V. J., Graw, R. G. Jr.: Cardiac pathologic findings in patients treated with bone marrow transplantation. Human Path. 7, 17–45 (1976)
O'Connell, T. X., Berenbaum, M. C.: Cardiac and pulmonary effects of high doses of cyclophosphamide and isophosphamide. Cancer Res. 34, 1586–1591 (1974)
Santos, G. W., Sensenbrenner, L. L., Burke, P. J., Colvin, O. M., Owens, A. H. Jr., Bias, W., Slavin, R.: Marrow transplants in man utilizing cyclophosphamide: summary of Baltimore experience. Exp. Hemat. 20, 78–81 (1970)
Santos, G. W., Sensenbrenner, L. L., Burke, P. J., Colvin, M., Owens, A. H. Jr., Bias, B., Slavin, R.: Marrow transplantation in man following cyclophosphamide. Transplantation Proc. III, 400–404 (1971)
Santos, G. W., Sensenbrenner, L. L., Burke, P. J., Mullins, G. M., Bias, W. B., Tutschka, P. J., Slavin, R. E.: The use of cyclophosphamide for clinical marrow transplantation. Transplantation Proc. IV, 559–564 (1972)
Slavin, R. E., Woodruff, J. M.: The pathology of bone marrow transplantation. In: Pathology annual, S. C. Sommers (ed.), pp. 291–344. New York: Appleton-Century-Crofts 1974
Storb, R., Buckner, C. D., Dillingham, L. A., Thomas, E. D.: Cyclophosphamide regimens in rhesus monkeys with and without marrow infusion. Cancer Res. 30, 2195–2203 (1970)
Storb, R., Thomas, E. D., Buckner, C. D., Clift, R. A., Johnson, F. L., Fefer, A., Glucksberg, H., Giblett, E. R., Lerner, K. G., Neiman, P.: Allogeneic marrow grafting for treatment of aplastic anemia. Blood 43, 157–180 (1974)
Thomas, E. D., Buckner, C. D., Banaji, M., Clift, R. A., Fefer, A., Flournoy, N., Goodell, B. W., Hickman, R. O., Lerner, K. G., Neiman, P. E., Sale, G. E., Sanders, J. E., Singer, J., Stevens, M., Storb, R., Weiden, P. L.: One hundred patients with acute leukemia treated by chemotherapy, total body irradiation, and allogeneic marrow transplantation. Blood 49, 511–533 (1977)
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
von Bernuth, G., Adam, D., Hofstetter, R. et al. Cyclophosphamide cardiotoxicity. Eur J Pediatr 134, 87–90 (1980). https://doi.org/10.1007/BF00442410
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF00442410