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Temporary Mechanical Circulatory Support for Takotsubo Cardiomyopathy Secondary to Primary Mediastinal B-Cell Lymphoma
Journal article   Open access   Peer reviewed

Temporary Mechanical Circulatory Support for Takotsubo Cardiomyopathy Secondary to Primary Mediastinal B-Cell Lymphoma

Carla Zeballos, Robert J. Moraca, Stephen H. Bailey and George J. Magovern
Journal of cardiac surgery, v 27(1), pp 119-121
01 Jan 2012
PMID: 22321117
url
https://doi.org/10.1111/j.1540-8191.2011.01391.xView
Published, Version of Record (VoR) Restricted

Abstract

Cardiac & Cardiovascular Systems Cardiovascular System & Cardiology Life Sciences & Biomedicine Science & Technology Surgery
Background: Left heart mechanical circulatory support (MCS) through the left chest via the pulmonary vein and descending thoracic aorta is a good option for patients with an inaccessible anterior mediastinum and/or poor peripheral access. Materials and Methods: We report the case of a 19-year-old small female with a newly discovered bulky primary mediastinal diffuse large B-cell lymphoma (PMBL) who developed refractory inverted Takotsubo cardiomyopathy (TC) with cardiogenic shock. Results: Temporary MCS was implemented in order to stabilize the patient and proceed with a chemotherapy treatment. Given the patient's oncologic "frozen" mediastinum and the presence of poor peripheral arterial access, the left heart temporary MCS was successfully implanted through a left mini-thoracotomy via the left inferior pulmonary vein and descending thoracic aorta. Conclusions: This is the first report of temporary MCS to treat inverted TC and diffuse PMBL. doi: 10.1111/j.1540-8191.2011.01391.x (J Card Surg 2012;27: 119-121)

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Web of Science research areas
Cardiac & Cardiovascular Systems
Surgery
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