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Case Reports
. 2024 Jan 22;13(1):e1-e3.
doi: 10.1055/a-2228-7405. eCollection 2024 Jan.

Right Atrium Primary Cardiac Lymphoma Causing Heart Failure

Angel Doño  1 , Cassidy Lounsbury  1 , Harvey Edward Garrett Jr  2
Affiliations
Case Reports

Right Atrium Primary Cardiac Lymphoma Causing Heart Failure

Angel Doño et al. Thorac Cardiovasc Surg Rep. .

Abstract

Background Patients with primary cardiac tumors may present with symptoms based on the size and location of the tumor. Symptoms may include congestive heart failure secondary to intracardiac obstruction, systemic embolization, arrhythmias, and constitutional symptoms. Case Description A patient presented with new onset atrial fibrillation and heart failure. Workup including open surgery revealed a primary cardiac lymphoma. Conclusion Cardiac tumors present with a variety of symptoms and are best evaluated by echocardiogram, computed tomography angiography, and magnetic resonance imaging. Tissue diagnosis is necessary. Although primary cardiac lymphoma is rare, long-term survival after chemotherapy and rituximab is superior to other cardiac malignancies.

Keywords: cardiac; heart failure; imaging (all modalities); off-pump surgery; positron emission tomography; tumor.

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Conflict of interest statement

Conflict of Interest None declared.

Figures

Fig. 1
Fig. 1
Preoperative imaging. ( A ) Transthoracic echocardiography demonstrated pericardial effusion. ( B ) positron emission tomography scan. ( C ) Magnetic resonance imaging.
Fig. 2
Fig. 2
Computed tomography coronary angiography with right coronary encased by tumor.
Fig. 3
Fig. 3
Intraoperative images: ( A ) Surgical site. ( B ) Specimen.
See this image and copyright information in PMC

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