Diffuse Large B Cell Lymphoma in a Prosthetic Aortic Graft

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• 作者：David Bell ; MBBS ; ^{dovib@msn.com} ; David Marshman ; MBBS ; FRACS
• 关键词：Lymphoma ; Aortic arch ; Thrombus ; Prosthetic graft
• 刊名：Heart, Lung and Circulation
• 出版年：2017
• 出版时间：February 2017
• 年：2017
• 卷：26
• 期：2
• 页码：e4-e6
• 全文大小：319 K
• 卷排序：26

文摘

We describe the case of a 70-year-old man with Marfan Syndrome who was found to have Diffuse Large B Cell Lymphoma (DLBCL) within an ascending aortic graft, his native aortic arch and arch vessels. Ten years previously he had undergone a Bentall's Procedure for a dilated aortic root. He presented with a left middle cerebral artery stroke. Computed tomography (CT) scan revealed multiple filling defects within the aortic arch and branch vessels suggestive of thrombus. Following the stroke, his neurological deficit improved. A decision was made to perform an aortic arch replacement to reduce the risk of a further embolic event. Subsequent histopathology confirmed DLBCL. Intravascular DLBCL is an extremely rare entity but an important diagnosis to consider in patients with intra-aortic thrombus in proximity to prosthetic graft material.