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CC BY-NC-ND 4.0 · Thorac Cardiovasc Surg Rep 2023; 12(01): e21-e23
DOI: 10.1055/s-0043-1764473
Case Report: Cardiac

Invasive Giant B-Cell Lymphoma Mimicking Fulminant Pulmonary Embolism

Marc Irqsusi
1   Department of Heart Surgery, University Hospital, Philipps University of Marburg, Marburg, Germany
,
Susanne von Gerlach
2   Institute of Pathology, Philipps University of Marburg, Marburg, Germany
,
Ardawan Julian Rastan
1   Department of Heart Surgery, University Hospital, Philipps University of Marburg, Marburg, Germany
,
Tamer Ghazy
1   Department of Heart Surgery, University Hospital, Philipps University of Marburg, Marburg, Germany
› Author Affiliations Funding None.
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Abstract

Background Cardiac non-Hodgkin's lymphoma is rare and has a poor prognosis. Here we report a rare case mimicking pulmonary embolism.

Case Description A 38-year-old woman suffered from severe dyspnea after cesarean section. With the clinical picture of fulminant central pulmonary embolism, lysis therapy was initiated. Further deterioration necessitated extracorporeal membrane oxygenation (ECMO) support and cardiosurgical intervention. Intraoperatively, a massive intravascular tumor obstructed the pulmonary bifurcation and was found to be B-cell lymphoma. Aggressive excision and pulmonary tree reconstruction improved the critical condition and initiated convalescence.

Conclusion High suspicion in central pulmonary embolism and early cardiosurgical therapy after ineffective lysis are essential.

Keywords

cardiovascular surgery - cardiac anatomy/pathologic anatomy - histology - mediastinal tumor


Publication History

Received: 03 January 2023

Accepted: 12 January 2023

Article published online:
26 March 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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