Zhang Xu, Zhang Ji Chao, Liu Rong Xing, Miao Qi
Peking Union Medicine School Hospital, Cardiac Surgery Department, Peking.
Heart Surg Forum. 2017 Mar 6;20(2):E043-E044. doi: 10.1532/hsf.1515.
A 21-year-old man presented initially with impending cardiac tamponade secondary to an angioimmunoblastic T-cell lymphoma (AITL). Following unsuccessful pericardiocentesis and subxiphoid pericardiostomy, the patient's deteriorating hemodynamics prompted an urgent sternotomy. Histopathological diagnosis confirmed AITL. While chemotherapy remains the most effective treatment of AITL, life-threatening complications of the tumor necessitates surgical intervention.
一名21岁男性最初因血管免疫母细胞性T细胞淋巴瘤(AITL)出现心脏压塞。心包穿刺术和剑突下心包造口术均未成功,患者不断恶化的血流动力学状况促使紧急进行胸骨切开术。组织病理学诊断证实为AITL。虽然化疗仍然是AITL最有效的治疗方法,但肿瘤危及生命的并发症需要手术干预。