Osteoporozinis stuburo slankstelių lūžis po širdies operacijos

Kęstutis Šalčius, Gintaras Turkevičius, Vytė Valerija ManeikienėVilniaus universiteto ligoninės Santariškių klinikų Širdies chirurgijos centras,Santariškių g. 2, LT-08661 VilniusEl paštas: [email protected] Osteoporozinis stuburo slankstelių lūžis, įvykęs po širdies operacijos, yra kazuistinis atvejis. Aprašome torokalinės stuburo dalies spontaninį lūžimą, kurio padarinys – stuburo smegenų pažeidimas 61 metų ligonei po širdies operacijos. Pagrindiniai žodžiai: vožtuvų protezavimas, osteoporozė Vertebral bone breaks after heart surgery Kęstutis Šalčius, Gintaras Turkevičius, Vytė Valerija ManeikienėVilnius University Hospital „Santariškių klinikos“, Cardiac Surgery Centre,Santariškių str. 2, LT-08661 Vilnius, LithuaniaE-mail: [email protected] Osteoporotic vertebral break after heart surgery is a very rare complication. We report a case of 61-year-old woman who was diagnosed with later spontaneous backbone break after heart surgery. Key words: valve replacement, osteoporosi

Commentary: Primary cardiac lymphoma: Two cases and a review of literature

Primary cardiac lymphoma (PCL) is a rare malignant potentially lethal disease, which only involves the heart. PCL is diagnosed only in 1.3 % of heart tumor patients. PCL belongs to the non-Hodgkin extranodal lymphomas group and comprise 0.5 % of them. To date about 200 cases are published and the most comprehensive review, which includes 197 cases, is written by Petrich et al. The most common histological type of PCL is diffuse large B cell lymphoma1–3. In our article entitled “Primary cardiac lymphoma: Two cases and a review of literature”, we have described two patients that were treated at our center4. Both of the patients were diagnosed with PCL. Both cases were confirmed histologically to be diffuse large B-cell lymphoma

Primary cardiac lymphoma: two cases and a review of literature

Background: Primary cardiac lymphoma is one of the rarest tumours of the heart. It belongs to the extra-nodal non-Hodgkin’s lymphomas. The most common type of this tumour is diffuse large B cell lymphoma. Usually, right atrium and right ventricle are involved. This tumour is fatal unless diagnosed and treated in time. In this article two female patients who were diagnosed with primary cardiac lymphoma and treated at our clinic are described. The first patient went to remission after the treatment, while the second patient died. The goals of this article are to show the difficulties of diagnosing and treating this disease, the role of cardiac surgery in its treatment and to raise awareness of this disease. Case reports: In this article two female patients who were diagnosed with primary cardiac lymphoma and treated at our clinic are described. The first patient went to remission after the treatment, while the second patient died. Conclusions: Primary cardiac lymphoma is a very rare disease. At the moment the most effective treatment is chemotherapy. Palliative surgery may be necessary to correct hemodynamics when venous blood flow to the lungs is disturbed