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.
Department of Cardiothoracic Surgery, University Medical Center, Regensburg, Germany. micha.ried@t-online.de
Michael
M
Ried
Leopold
L
Rupprecht
Stephan
S
Hirt
York
Y
Zausig
Matthias
M
Grube
Markus
M
Resch
Michael
M
Hilker
Ferdinand
F
Hofstädter
Christof
C
Schmid
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