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Primary cardiac lymphoma presenting as atrial flutter and total heart block

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Abstract

Primary cardiac lymphoma is extremely rare. We present the case of a 70-year-old man with primary cardiac lymphoma involving interatrial septum, presenting as atrial flutter and total heart block. The diagnosis was obtained by echocardiography-guided transvenous endocardial biopsy which revealed diffuse large B-cell non-Hodgkin's lymphoma, CD 20+. After six courses of immunochemotherapy the patient achieved complete remission. After 2 months he developed a series of epileptic attacks. Intracerebral lymphoma extension was diagnosed. Two cycles of high-dose methotrexate and cranial irradiation were applied, resulting in a second complete remission.

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References

  1. HA McAllister JJ Fenoglia (1978) Tumors of the cardiovascular system Atlas of tumor pathology, 2nd series Armed Forces Institute of Pathology Washington DC 99–100

    Google Scholar 

  2. T Nakakuki H Masuoka K Ishikura T Seko S Koyabu T Tamai M Sugawa M Ito T Nakano (2004) ArticleTitleA case of primary cardiac lymphoma located in the pericardial effusion Heart Vessels 19 IssueID4 199–202 Occurrence Handle15278395 Occurrence Handle10.1007/s00380-003-0748-2

    Article  PubMed  Google Scholar 

  3. GL Ceresoli AJM Ferreri (1997) ArticleTitleCardiac lymphoma in immunocompetent patients Cancer 80 1497–1506 Occurrence Handle9338475 Occurrence Handle10.1002/(SICI)1097-0142(19971015)80:8<1497::AID-CNCR18>3.0.CO;2-0 Occurrence Handle1:STN:280:ByiH2sfhvVQ%3D

    Article  PubMed  CAS  Google Scholar 

  4. G Rolla M Bertero (2002) ArticleTitlePrimary lymphoma of the heart. Case report and review Leukemia Res 26 117–120 Occurrence Handle10.1016/S0145-2126(01)00092-3

    Article  Google Scholar 

  5. OA Molajo L McWilliam C Ward A Rahman (1987) ArticleTitleCardiac lymphoma: an unusual case of myocardial perforation – clinical, echocardiographic, haemodynamic and pathological features Eur Heart J 8 549–552 Occurrence Handle3609049 Occurrence Handle1:STN:280:BiiB2sngtVU%3D

    PubMed  CAS  Google Scholar 

  6. AJ Ferreri M Reni E Villa (2000) ArticleTitleTherapeutic management of primary central nervous system lymphoma: lessons from prospective trials Ann Oncol 11 IssueID8 s927–937 Occurrence Handle10.1023/A:1008376412784

    Article  Google Scholar 

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Correspondence to Joško Bulum.

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Bulum, J., Banfić, L., Strozzi, M. et al. Primary cardiac lymphoma presenting as atrial flutter and total heart block. Heart Vessels 22, 52–54 (2007). https://doi.org/10.1007/s00380-006-0924-2

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  • DOI: https://doi.org/10.1007/s00380-006-0924-2

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