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Case Reports
. 2017:2017:1528416.
doi: 10.1155/2017/1528416. Epub 2017 May 28.

Acute Lymphoblastic Leukemia with Infective Endocarditis Presented with Unusual Intracardiac Mass

Ali Sadeghpour Tabaei  1 , Leili Koochakzadeh  2 , Mohammadrafie Khorgami  3 , Sepehr Sadeghpour Tabaei  4
Affiliations
Case Reports

Acute Lymphoblastic Leukemia with Infective Endocarditis Presented with Unusual Intracardiac Mass

Ali Sadeghpour Tabaei et al. Case Rep Cardiol. 2017.

Abstract

Acute lymphoblastic leukemia (ALL) is a systemic disease that is presented with different symptoms and signs. Cardiac manifestation is rare in ALL, but it is very important and needs appropriate management. It usually presents as leukemic myocardial infiltration and in the presence of cardiac mass comprehensive evaluation for other etiologies is mandatory. We reported on a 6-year-old boy in remission phase of ALL and large cardiac mass in the right atrium with obscure early symptoms and signs, in whom infective endocarditis (IE) was diagnosed and appropriate medical treatment was performed. Because the mass was sustained, surgical resection was considered for the patient.

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Figures

Figure 1
Figure 1
Right atrium vegetation in different view in echocardiography subcostal; four chamber views during systole and diastole. Note mobile position of mass that enters RV during diastole. Last image showed four chamber views after mass resection.
Figure 2
Figure 2
Thickening and inflammation of pericardium.
Figure 3
Figure 3
Intracardiac vegetation: one in the tricuspid valve and another in the entrance of SVC to right atrium.
Figure 4
Figure 4
The complete excision of intracardiac mass (vegetation).
See this image and copyright information in PMC

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