Background Cardiac non-Hodgkin's lymphoma is rare and has a poor prognosis. Here we report a rare case mimicking pulmonary embolism. Case Description A 38-year-old woman suffered from severe dyspnea after cesarean section. With the clinical picture of fulminant central pulmonary embolism, lysis therapy was initiated. Further deterioration necessitated extracorporeal membrane oxygenation (ECMO) support and cardiosurgical intervention. Intraoperatively, a massive intravascular tumor obstructed the pulmonary bifurcation and was found to be B-cell lymphoma. Aggressive excision and pulmonary tree reconstruction improved the critical condition and initiated convalescence. Conclusion High suspicion in central pulmonary embolism and early cardiosurgical therapy after ineffective lysis are essential.
Keyphrases
- pulmonary embolism
- extracorporeal membrane oxygenation
- poor prognosis
- rare case
- acute respiratory distress syndrome
- inferior vena cava
- diffuse large b cell lymphoma
- long non coding rna
- pulmonary hypertension
- respiratory failure
- randomized controlled trial
- early onset
- left ventricular
- stem cells
- coronary artery
- intensive care unit
- mechanical ventilation
- bone marrow
- endovascular treatment