A Case of Primary Cardiac Lymphoma Mimicking Acute Coronary and Aortic Syndrome.
10.4070/kcj.2012.42.11.776
- Author:
Sung Woo CHO
1
;
Byung Kyu KIM
;
Jin Tae HWANG
;
Jeong Hoon KIM
;
Byung Ok KIM
;
Choong Won GOH
;
Kun Joo RHEE
;
Hyo Seung AHN
;
Hyun Jung KIM
;
Young Sup BYUN
Author Information
1. Graduate School of Medical Science and Engineering, Korea Advanced Institute of Science and Technology (KAIST), Daejeon, Korea.
- Publication Type:Case Report
- Keywords:
Cardiac tumor;
Chest pain;
Acute coronary syndrome
- MeSH:
Acute Coronary Syndrome;
Chest Pain;
Electrocardiography;
Female;
Heart Neoplasms;
Humans;
Incidence;
Lymphoma;
Lymphoma, B-Cell;
Myocardium;
Tachycardia, Ventricular;
Thorax;
Troponin T
- From:Korean Circulation Journal
2012;42(11):776-780
- CountryRepublic of Korea
- Language:English
-
Abstract:
Primary cardiac lymphoma (PCL) is a rare disorder, but the incidence is increasing and its clinical manifestations are various. We report a case of PCL, which mimics an acute coronary and aortic syndrome. A 51 year-old female was presented with chest pain radiating to the back. Her initial electrocardiogram revealed T wave inversion in the leads of V 5-6, II, III and aVF. Additionally, cardiac troponin-T was slightly elevated. Chest radiography showed marked mediastinal widening. Computed tomography scan showed a huge pericardial mass. The histopathologic findings of the mass were compatible with diffuse large B cell lymphoma. She died of refractory ventricular tachycardia, probably, due to an extensive infiltration of PCL to the myocardium.
