Successful Use of Extracorporeal Membrane Oxygenation for Respiratory Failure Caused by Mediastinal Precursor T Lymphoblastic Lymphoma
Precursor T lymphoblastic lymphoma (T-LBL) often manifests as a mediastinal mass sometimes compressing vital structures like vessels or large airways. This case was a 40-year-old male who developed T-LBL presenting as respiratory failure caused by mediastinal T-LBL. He presented with persistent life...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2014/804917 |
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| author | Masafumi Oto Kyoko Inadomi Toshiyuki Chosa Shima Uneda Soichi Uekihara Minoru Yoshida |
| author_facet | Masafumi Oto Kyoko Inadomi Toshiyuki Chosa Shima Uneda Soichi Uekihara Minoru Yoshida |
| author_sort | Masafumi Oto |
| collection | DOAJ |
| description | Precursor T lymphoblastic lymphoma (T-LBL) often manifests as a mediastinal mass sometimes compressing vital structures like vessels or large airways. This case was a 40-year-old male who developed T-LBL presenting as respiratory failure caused by mediastinal T-LBL. He presented with persistent life threatening hypoxia despite tracheal intubation. We successfully managed this respiratory failure using venovenous (VV) ECMO. Induction chemotherapy was started after stabilizing oxygenation and the mediastinal lesion shrank rapidly. Respiratory failure caused by compression of the central airway by tumor is an oncologic emergency. VV ECMO may be an effective way to manage this type of respiratory failure as a bridge to chemotherapy. |
| format | Article |
| id | doaj-art-a943660145f44ab7938888bc9f8b45bc |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-a943660145f44ab7938888bc9f8b45bc2025-08-20T03:39:37ZengWileyCase Reports in Medicine1687-96271687-96352014-01-01201410.1155/2014/804917804917Successful Use of Extracorporeal Membrane Oxygenation for Respiratory Failure Caused by Mediastinal Precursor T Lymphoblastic LymphomaMasafumi Oto0Kyoko Inadomi1Toshiyuki Chosa2Shima Uneda3Soichi Uekihara4Minoru Yoshida5Department of Hematology and Medical Oncology, Japanese Red Cross Kumamoto Hospital, 2-1-1 Nagamine-minami, Higashi-Ku, Kumamoto 861-8520, JapanDepartment of General Internal Medicine, Japanese Red Cross Kumamoto Hospital, 2-1-1 Nagamine-minami, Higashi-Ku, Kumamoto 861-8520, JapanDepartment of General Internal Medicine, Japanese Red Cross Kumamoto Hospital, 2-1-1 Nagamine-minami, Higashi-Ku, Kumamoto 861-8520, JapanDepartment of Hematology and Medical Oncology, Japanese Red Cross Kumamoto Hospital, 2-1-1 Nagamine-minami, Higashi-Ku, Kumamoto 861-8520, JapanDepartment of General Internal Medicine, Japanese Red Cross Kumamoto Hospital, 2-1-1 Nagamine-minami, Higashi-Ku, Kumamoto 861-8520, JapanDepartment of Hematology and Medical Oncology, Japanese Red Cross Kumamoto Hospital, 2-1-1 Nagamine-minami, Higashi-Ku, Kumamoto 861-8520, JapanPrecursor T lymphoblastic lymphoma (T-LBL) often manifests as a mediastinal mass sometimes compressing vital structures like vessels or large airways. This case was a 40-year-old male who developed T-LBL presenting as respiratory failure caused by mediastinal T-LBL. He presented with persistent life threatening hypoxia despite tracheal intubation. We successfully managed this respiratory failure using venovenous (VV) ECMO. Induction chemotherapy was started after stabilizing oxygenation and the mediastinal lesion shrank rapidly. Respiratory failure caused by compression of the central airway by tumor is an oncologic emergency. VV ECMO may be an effective way to manage this type of respiratory failure as a bridge to chemotherapy.http://dx.doi.org/10.1155/2014/804917 |
| spellingShingle | Masafumi Oto Kyoko Inadomi Toshiyuki Chosa Shima Uneda Soichi Uekihara Minoru Yoshida Successful Use of Extracorporeal Membrane Oxygenation for Respiratory Failure Caused by Mediastinal Precursor T Lymphoblastic Lymphoma Case Reports in Medicine |
| title | Successful Use of Extracorporeal Membrane Oxygenation for Respiratory Failure Caused by Mediastinal Precursor T Lymphoblastic Lymphoma |
| title_full | Successful Use of Extracorporeal Membrane Oxygenation for Respiratory Failure Caused by Mediastinal Precursor T Lymphoblastic Lymphoma |
| title_fullStr | Successful Use of Extracorporeal Membrane Oxygenation for Respiratory Failure Caused by Mediastinal Precursor T Lymphoblastic Lymphoma |
| title_full_unstemmed | Successful Use of Extracorporeal Membrane Oxygenation for Respiratory Failure Caused by Mediastinal Precursor T Lymphoblastic Lymphoma |
| title_short | Successful Use of Extracorporeal Membrane Oxygenation for Respiratory Failure Caused by Mediastinal Precursor T Lymphoblastic Lymphoma |
| title_sort | successful use of extracorporeal membrane oxygenation for respiratory failure caused by mediastinal precursor t lymphoblastic lymphoma |
| url | http://dx.doi.org/10.1155/2014/804917 |
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