Fatal cardiac tamponade due to coronary sinus thrombosis in acute lymphoblastic leukaemia: a case reportReport as inadecuate




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Cases Journal

, 2:9095

First Online: 27 November 2009Received: 19 September 2009Accepted: 27 November 2009DOI: 10.1186-1757-1626-2-9095

Cite this article as: Kitazawa, S., Kitazawa, R., Kondo, T. et al. Cases Journal 2009 2: 9095. doi:10.1186-1757-1626-2-9095

Abstract

We report a rare case of fatal cardiac tamponade attributed to coronary sinus thrombosis. An 83-year-old man was admitted to the hospital complaining of general fatigue. Laboratory examination revealed marked increase of atypical lymphoblastic cells in peripheral blood. CHOP therapy was started under the diagnosis of acute lymphoblastic leukemia. The patient died, however, of sudden cardiac arrest in the initial course of the chemotherapy. Autopsy revealed cardiac tamponade with markedly dilated and congested coronary vein induced by coronary sinus thrombosis. A condition similar to leukemia-related venous thromboembolic disease, combined with endothelial damage induced by leukemic infiltration, may cause this rare complication.

Electronic supplementary materialThe online version of this article doi:10.1186-1757-1626-2-9095 contains supplementary material, which is available to authorized users.

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Author: Sohei Kitazawa - Riko Kitazawa - Takeshi Kondo - Kiyoshi Mori - Toshimitsu Matsui - Hiroshi Watanabe - Makoto Watanabe

Source: https://link.springer.com/







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