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Diagnosis was facilitated through multimodality imaging, including transthoracic echocardiography, cardiac MRI, chest CT, and invasive hemodynamic assessment using pulmonary artery catheters. These tools were instrumental in characterizing the constrictive and obstructive components of the patient\u2019s shock. A pulmonary artery catheter was also employed for ongoing hemodynamic monitoring during treatment with chemotherapy and tumor debulking agents. Remarkably, the patient showed rapid clinical improvement within 48 hours of initiating therapy, as evidenced by the hemodynamic monitoring trends.<\/jats:p>","DOI":"10.15420\/usc.2025.12","type":"journal-article","created":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T17:27:54Z","timestamp":1785518874000},"source":"Crossref","is-referenced-by-count":0,"title":["A Rare Case of Burkitt\u2019s Lymphoma Presenting as Mixed Constrictive and Obstructive Cardiogenic Shock"],"prefix":"10.15420","author":[{"given":"Alison","family":"Ranum","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00b30xv10","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lara","family":"Sokoloff","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00b30xv10","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Schurr","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00b30xv10","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neel R","family":"Nabar","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00b30xv10","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoav","family":"Karpenshif","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00b30xv10","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9440-0974","authenticated-orcid":false,"given":"Mauer","family":"Biscotti","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00b30xv10","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8587-7279","authenticated-orcid":false,"given":"B\u00e9n\u00e9dicte","family":"Lefebvre","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00b30xv10","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0276-3709","authenticated-orcid":false,"given":"Joyce","family":"Wald","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00b30xv10","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0399-5106","authenticated-orcid":false,"given":"Kiran","family":"Sidhu","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00b30xv10","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"6096","published-online":{"date-parts":[[2026,8,4]]},"reference":[{"key":"ref0","doi-asserted-by":"crossref","unstructured":"Zhao Y, Huang S, Ma C, et al. Clinical features of cardiac lymphoma: an analysis of 37 cases. J Int Med Res 2021;49:300060521999558. https:\/\/doi.org\/10.1177\/0300060521999558; PMID: 33752450. DOI: 10.1177\/0300060521999558","DOI":"10.1177\/0300060521999558"},{"key":"ref1","doi-asserted-by":"crossref","unstructured":"Reuss CS, Wilansky SM, Lester SJ, et al. Using mitral \u201cannulus reversus\u201d to diagnose constrictive pericarditis. Eur J Echocardiogr 2009;10:372\u20135. https:\/\/doi.org\/10.1093\/ejechocard\/jen258; PMID: 18952625. DOI: 10.1093\/ejechocard\/jen258","DOI":"10.1093\/ejechocard\/jen258"},{"key":"ref2","doi-asserted-by":"crossref","unstructured":"Ardhanari S, Yarlagadda B, Parikh V, et al. Systematic review of non-invasive cardiovascular imaging in the diagnosis of constrictive pericarditis. Indian Heart J 2017;69:57\u201367. https:\/\/doi.org\/10.1016\/j.ihj.2016.06.004; PMID: 28228308. DOI: 10.1016\/j.ihj.2016.06.004","DOI":"10.1016\/j.ihj.2016.06.004"},{"key":"ref3","doi-asserted-by":"crossref","unstructured":"Garan AR, Kanwar M, Thayer KL, et al. Complete hemodynamic profiling with pulmonary artery catheters in cardiogenic shock is associated with lower in-hospital mortality. JACC Heart Fail 2020;8:903\u201313. https:\/\/doi.org\/10.1016\/j.jchf.2020.08.012; PMID: 33121702. DOI: 10.1016\/j.jchf.2020.08.012","DOI":"10.1016\/j.jchf.2020.08.012"},{"key":"ref4","doi-asserted-by":"crossref","unstructured":"Roschewski M, Dunleavy K, Abramson JS, et al. Multicenter study of risk-adapted therapy with dose-adjusted EPOCH-R in adults with untreated Burkitt lymphoma. J Clin Oncol 2020;38:2519\u201329. https:\/\/doi.org\/10.1200\/JCO.20.00303; PMID: 32453640. DOI: 10.1200\/JCO.20.00303","DOI":"10.1200\/JCO.20.00303"},{"key":"ref5","doi-asserted-by":"crossref","unstructured":"Chan O, Igwe M, Breburda CS, Amar S. Burkitt lymphoma presenting as an intracardiac mass: case report and review of literature. Am J Case Rep 2016;17:553\u20138. https:\/\/doi.org\/10.12659\/ajcr.899022; PMID: 27484990. 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