Successfully treated massive pulmonary thromboembolism and thrombus in the right atrium due to diffuse malignant lymphoma: a case report

A 40-year-old man presented with massive pulmonary embolism related to diffuse large B cell lymphoma. His hemodynamic state worsened rapidly to shock after sudden onset of dyspnea. Echocardiography and thoracic computed tomography indicated pulmonary thromboembolism due to deep venous thromboembolis...

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Bibliographic Details
Published inJournal of cardiology Vol. 48; no. 3; p. 159
Main Authors Inoue, Hiromu, Yasu, Takanori, Kawahito, Koji, Kubo, Norifumi, Nishida, Junji, Kawakami, Masanobu, Saito, Muneyasu
Format Journal Article
LanguageEnglish
Published Netherlands 01.09.2006
Subjects
Adult
Emergencies
Humans
Lymphoma, B-Cell - complications
Lymphoma, Non-Hodgkin - complications
Male
Pulmonary Embolism - diagnosis
Pulmonary Embolism - etiology
Pulmonary Embolism - surgery
Thrombectomy
Treatment Outcome
Venous Thrombosis - etiology
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Summary:A 40-year-old man presented with massive pulmonary embolism related to diffuse large B cell lymphoma. His hemodynamic state worsened rapidly to shock after sudden onset of dyspnea. Echocardiography and thoracic computed tomography indicated pulmonary thromboembolism due to deep venous thromboembolism, associated with a mass in the anterior mediastinum and a 5 x 8 cm mass in the left pelvis compressing the left femoral vein. He underwent emergent surgery to remove a huge thrombus from the right atrium through the bilateral pulmonary arteries. Soon after this surgery, his hemodynamic state recovered and excision of the left cervical lymph node revealed diffuse large B cell lymphoma. Venous compression by the lymphoma mass had caused hemostasis and thrombus formation in the present case.
ISSN:0914-5087