CC BY-NC-ND 4.0 · Thorac Cardiovasc Surg Rep 2023; 12(01): e21-e23
DOI: 10.1055/s-0043-1764473
Case Report: Cardiac

Invasive Giant B-Cell Lymphoma Mimicking Fulminant Pulmonary Embolism

Marc Irqsusi
1   Department of Heart Surgery, University Hospital, Philipps University of Marburg, Marburg, Germany
Susanne von Gerlach
2   Institute of Pathology, Philipps University of Marburg, Marburg, Germany
Ardawan Julian Rastan
1   Department of Heart Surgery, University Hospital, Philipps University of Marburg, Marburg, Germany
Tamer Ghazy
1   Department of Heart Surgery, University Hospital, Philipps University of Marburg, Marburg, Germany
› Author Affiliations
Funding None.


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.

Publication History

Received: 03 January 2023

Accepted: 12 January 2023

Article published online:
26 March 2023

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