Sequential therapy of primary cardiac lymphoma with cardiectomy, total artificial heart support, and cardiac transplantation

Ried, Michael; Rupprecht, Leopold; Hirt, Stephan; Zausig, York; Grube, Matthias; Resch, Markus; Hilker, Michael; Hofstädter, Ferdinand; Schmid, Christof

doi:10.1016/j.healun.2010.01.014

« Previous Next »The Journal of Heart and Lung Transplantation
Volume 29, Issue 6 , Pages 707-709, June 2010

Sequential therapy of primary cardiac lymphoma with cardiectomy, total artificial heart support, and cardiac transplantation

Michael Ried, MD
- Department of Cardiothoracic Surgery, University Medical Center, Regensburg, Germany
- Reprint requests: Michael Ried, MD, Department of Cardiothoracic Surgery, University Medical Center, Franz-Josef-Strauss-Allee 11, Regensburg 93053, Germany. Telephone: ++49-941-944-9801. Fax: ++49-941-944-9802
Leopold Rupprecht, MD
- Department of Cardiothoracic Surgery, University Medical Center, Regensburg, Germany
Stephan Hirt, PhD
- Department of Cardiothoracic Surgery, University Medical Center, Regensburg, Germany
York Zausig, MD
- Department of Anesthesia, University Medical Center, Regensburg, Germany
Matthias Grube, MD
- Department of Hematology and Internal Oncology, University Medical Center, Regensburg, Germany
Markus Resch, MD
- Department of Internal Medicine II, University Medical Center, Regensburg, Germany
Michael Hilker, PhD
- Department of Cardiothoracic Surgery, University Medical Center, Regensburg, Germany
Ferdinand Hofstädter, PhD
- Department of Pathology, University Medical Center, Regensburg, Germany
Christof Schmid, PhD
- Department of Cardiothoracic Surgery, University Medical Center, Regensburg, Germany

published online 15 March 2010.

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.

Keywords: cardiac lymphoma, cardiac transplantation, assist device, heart failure, CHOP, cardiectomy