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Case Reports in Hematology
Volume 2013, Article ID 504612, 3 pages
http://dx.doi.org/10.1155/2013/504612
Case Report

High-Output Cardiac Failure Revealing Primary Plasma Cell Leukemia

1Service d’Hématologie, Hôpital Victor Dupouy, 69 rue du Lieutenant Colonel Prudhon, 95100 Argenteuil, France
2Service de Cardiologie, Hôpital Victor Dupouy, 69 rue du Lieutenant Colonel Prudhon, 95100 Argenteuil, France

Received 12 January 2013; Accepted 11 February 2013

Academic Editors: N. Hamerschlak and A. Ohsaka

Copyright © 2013 Driss Chaoui et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

High-output cardiac failure in multiple myeloma (MM) is related to arteriovenous shunting in bone infiltrate disease. We describe such a complication in a patient with primary plasma cell leukemia (pPCL) without bone disease. We review the mechanisms that could be involved. As previously described, traditional cardiac failure therapy is not effective. pPCL therapy should not be delayed.