title: High-output cardiac failure revealing primary plasma cell leukemia.
abstract: High-output cardiac failure in multiple myeloma (MM) is related to arteriovenous shunting in bone infiltrate disease. We describe such a complication in a patient with primary plasma cell leukemia (pPCL) without bone disease. We review the mechanisms that could be involved. As previously described, traditional cardiac failure therapy is not effective. pPCL therapy should not be delayed.
authors.affiliation: Service d'Hématologie, Hôpital Victor Dupouy, 69 rue du Lieutenant Colonel Prudhon, 95100 Argenteuil, France.
authors.forename: Driss
authors.initials: D
authors.lastname: Chaoui
authors.forename: Bruno
authors.initials: B
authors.lastname: Gallet
authors.forename: Philippe
authors.initials: P
authors.lastname: Genet
authors.forename: Babette
authors.initials: B
authors.lastname: Mbungani
authors.forename: Ahmad
authors.initials: A
authors.lastname: Al Jijakli
authors.forename: Nina
authors.initials: N
authors.lastname: Arakelyan
authors.forename: Louisa
authors.initials: L
authors.lastname: Mesbah
authors.forename: Laurent
authors.initials: L
authors.lastname: Sutton