[Extrinsic compression of the pulmonary artery by a mediastinal lymphoma. Diagnosis by Doppler echocardiography].
A patient with an anterior mediastinal tumor and cardiomegaly observed by plain chest roentgenogram is presented. The echocardiographic-Doppler examination showed massive pericardial efussion with hemodynamic compromise, and external compression of the right atrium and pulmonary artery. A pericardiocentesis was performed, and a mediastinoscopy with biopsy was diagnostic of lymphoblastic lymphoma.
Servicio de Cardiología, Hospital General Universitario Vall d'Hebron, Barcelona.
P
P
Blanch
J
J
Candell
H
H
García del Castillo
A
A
Evangelista
M T
MT
González
J
J
Ordi
J
J
Soler Soler
D000293:Adolescent; D003251:Constriction, Pathologic / Q000000981:diagnostic imaging; D015150:Echocardiography, Doppler; D006325:Heart Atria / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D008479:Mediastinal Neoplasms / Q000150:complications* / Q000175:diagnosis; D010490:Pericardial Effusion / Q000000981:diagnostic imaging / Q000209:etiology; D054198:Precursor Cell Lymphoblastic Leukemia-Lymphoma / Q000150:complications* / Q000175:diagnosis; D011651:Pulmonary Artery / Q000000981:diagnostic imaging*
Compresión extrínseca de la arteria pulmonar por un linfoma mediastínico. Diagnóstico por ecocardiografía-Doppler.