A Case of Primary Cardiac Lymphoma with Complete Atrio-Ventricular Block and Superior Vena Cava Syndrome
10.4326/jjcvs.35.264
- VernacularTitle:完全房室ブロックを初発症状とし上大静脈症候群を呈した心臓原発悪性リンパ腫の１例
- Author:
Hiromichi Sonoda
;
Kunihiko Jouo
;
Masayoshi Umesue
;
Koji Matsuzaki
;
Kanzi Matsui
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
2006;35(5):264-267
- CountryJapan
- Language:Japanese
-
Abstract:
Primary cardiac malignant lymphoma (PCL), which is defined as an extra-nodal malignant lymphoma involving only the heart and/or pericardium, is extremely rare. Its prognosis is reported to be very poor because the PCL grows rapidly and frequently causes fatal heart failure or arrhythmias. We report a 65-year-old woman with PCL accompanied with superior vena cava (SVC) syndrome 6 weeks following a pacemaker implantation for complete atrio-ventricular block. She underwent a partial resection of the tumor to release the SVC syndrome and subsequent systemic chemotherapy. This combined therapy successfully induced complete remission, and improvement of the atrio-ventricular conduction disturbance was also observed.
