Temporary one-and-a-half ventricular repair to relieve lymphomatous obstruction of the pulmonary artery.
Mediastinal lymphoma may infiltrate the conoarterial junction of the heart and cause life-threatening compression of the pulmonary artery. Partial debulking of the tumor along the left pulmonary artery and creation of a cavopulmonary anastomosis on the right pulmonary artery restored satisfactory perfusion of the lungs and unloading of the right ventricle in a 19-year-old woman. Remission of the tumor after chemotherapy allowed subsequent takedown of the cavopulmonary anastomosis.
Prêtre
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Clinic for Cardiovascular Surgery, University Hospital Zürich, Switzerland. rene.pretre@chi.usz.ch
Turina
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MI
D000328:Adult; D000714:Anastomosis, Surgical; D005260:Female; D006801:Humans; D016393:Lymphoma, B-Cell / Q000473:pathology*; D016403:Lymphoma, Large B-Cell, Diffuse / Q000473:pathology*; D008479:Mediastinal Neoplasms / Q000473:pathology*; D011651:Pulmonary Artery / Q000473:pathology* / Q000601:surgery*; D012086:Reoperation; D014683:Vena Cava, Superior / Q000601:surgery