A Successful Case of Cardiac Operation and Chemotherapy for Primary Cardiac Malignant Lymphoma with Superior Vena Cava Syndrome
10.4326/jjcvs.43.146
- VernacularTitle:上大静脈症候群を呈した右房原発悪性リンパ腫に対して右房内腫瘍摘出手術および化学療法が奏効した1例
- Author:
Takao Tsuchida
;
Kentaro Yano
;
Hitoshi Fukumoto
- Publication Type:Journal Article
- Keywords:
primary cardiac lymphoma;
surgical resection;
SVC syndrome
- From:Japanese Journal of Cardiovascular Surgery
2014;43(3):146-149
- CountryJapan
- Language:Japanese
-
Abstract:
Primary cardiac lymphomas are rare cardiac neoplasms with poor prognoses. We report a 61-year-old man who presented with superior vena cava (SVC) syndrome. Trans-thoracic echocardiography showed a 77×91-mm mass occupying the right atrium. The tumor obstructed the SVC. The deteriorating hemodynamics of our patient prompted a surgical intervention. We resected as much of the tumor as possible under cardiopulmonary bypass. The postoperative course was uneventful, and the SVC syndrome disappeared. Pathological examination was consistent with malignant lymphoma, diffuse large B-cell type. After cardiac operation, the patient was treated with rituximab, cyclophosphamaide, adriamycin, vincristin, and prednisone (CHOP-R). The patient has been in good health for 30 months without signs of recurrence.
