Bulum, Joško and Banfić, Ljiljana and Strozzi, Maja and Aurer, Igor and Jelašić, Dražen
Primary cardiac lymphoma presenting as atrial flutter and total heart block.
Heart and Vessels, 22 (1).
ISSN 0910-8327 (Print) 1615-2573 (Electronic)
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.
||Atrial Flutter - etiology ; Heart Block - etiology ; Heart Neoplasms - diagnosis - therapy - ultrasonography ; Lymphoma, Non-Hodgkin - diagnosis - therapy - ultrasonography ; Aged ; Echocardiography, Transesophageal ; Humans
||Katedra za internu medicinu
||12 Feb 2007
||23 Sep 2011 16:10
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