Sequential therapy of primary cardiac lymphoma with cardiectomy, total artificial heart support, and cardiac transplantation.
Primary cardiac T-cell lymphoma is an extremely rare entity, with only 3 patients having been reported so far in the literature. We describe the case of a young patient with acute heart failure involving the whole myocardium. The patient successfully underwent emergency cardiectomy, custom-made total artificial heart implantation and heart transplantation, combined with chemotherapy. The problems we encountered with this rare disease are discussed and compared with those of previous studies.
Ried
Michael
M
Department of Cardiothoracic Surgery, University Medical Center, Regensburg, Germany. micha.ried@t-online.de
Rupprecht
Leopold
L
Hirt
Stephan
S
Zausig
York
Y
Grube
Matthias
M
Resch
Markus
M
Hilker
Michael
M
Hofstädter
Ferdinand
F
Schmid
Christof
C
D000971:Antineoplastic Combined Chemotherapy Protocols; D006348:Cardiac Surgical Procedures; D003520:Cyclophosphamide; D004317:Doxorubicin; D005260:Female; D006338:Heart Neoplasms / Q000473:pathology / Q000601:surgery*; D016027:Heart Transplantation; D006354:Heart, Artificial; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D008223:Lymphoma / Q000473:pathology / Q000601:surgery*; D009206:Myocardium / Q000473:pathology; D011241:Prednisone; D014750:Vincristine; D055815:Young Adult
D007166:Immunosuppressive Agents; D014750:Vincristine; D004317:Doxorubicin; D003520:Cyclophosphamide; D011241:Prednisone