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BMJ Case Reports 2009; doi:10.1136/bcr.10.2008.1031
  • Unusual association of diseases/symptoms

Right atrial mass in the context of recurrent non-Hodgkin’s lymphoma: atrial myxoma presenting with atrial flutter

  1. Arash Yavari1,
  2. Hossam El-Mahy2,
  3. Eric T McWilliams1
  1. 1
    Conquest Hospital, Cardiology Department, The Ridge, East Sussex, TN37 7RD, UK
  2. 2
    Tameside Hospital, Cardiology, Fountain Street, Lancashire, Ashton-under-Lyne, OL6 9RW, UK
  1. yavari_a{at}hotmail.com
  • Published 2 March 2009

Summary

A case is described of a 57-year-old man with a background of low-grade bronchus-associated lymphoid tissue (BALT) non-Hodgkin’s lymphoma presenting with dyspnoea and palpitations. Diagnostic work-up revealed paroxysmal atrial flutter and the presence of a mass in the right lower lobe at bronchoscopy, with histology confirming recurrent BALTOMA. Transthoracic echocardiography (TTE) revealed a mass in the right atrium. Transoesophageal echocardiography (TOE) confirmed the presence of a fleshy, mobile pedunculated right atrial mass adherent to the interatrial septum, with features more in keeping with an atrial myxoma rather than intracardiac lymphoma. He proceeded to cardiotomy and excision of the mass with histology confirming an atrial myxoma. The clinical and echocardiographic features of atrial myxomas and intracardiac lymphomas are briefly discussed.

Footnotes

  • Competing interests: None.

  • Patient consent: Patient/guardian consent was obtained for publication.

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