Complicaciones cardiovasculares en gestante con linfoma primario mediastinal de células B

Melisa Inquilla Coyla; Henry Anchante Hernández; Félix Medina Palomino

doi:10.47487/apcyccv.v3i2.202

Authors

Melisa Inquilla Coyla Hospital Cayetano Heredia. Lima, Perú. https://orcid.org/0000-0001-9368-842X
Henry Anchante Hernández Hospital Cayetano Heredia. Lima, Perú. https://orcid.org/0000-0001-9318-4918
Félix Medina Palomino Hospital Cayetano Heredia. Lima, Perú. https://orcid.org/0000-0002-5854-1032

DOI:

https://doi.org/10.47487/apcyccv.v3i2.202

Keywords:

Lymphoma, Large B-Cell Diffuse, Pregnancy, Metastasis, Tachyarrhythmia, Bradycardia

Abstract

A 26-year-old pregnant woman with 29 weeks of gestational age reported two months of cough, dyspnea, orthopnea, and palpitations. Chest tomography revealed a 10x12cm solid mass in the right lung. Echocardiography showed that the tumor compromised the right atrium and ventricle, and was diagnosed by transcutaneous biopsy as primary mediastinal B-cell lymphoma (PMCBL). The patient presented 2:1 atrial flutter, sinus bradycardia, and ectopic atrial bradycardia. Due to the rapid poor evolution, it was decided to terminate the pregnancy by cesarean section and start chemotherapy, after which the cardiovascular complications resolved. PCML is a very rare lymphoma that can affect pregnant women in any trimester, its symptoms are related to its rapid growth and compromise of the heart, causing various cardiovascular manifestations (heart failure, pericardial effusion, cardiac arrhythmias). PCMLC is characteristically chemosensitive and has a good prognosis.

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