An unusual case of biventricular cardiac failure.
We present a patient with acute retrosternal pain and dyspnoea. Clinical examination revealed a woman in shock with a loud holosystolic murmur and congested jugular veins. Echocardiography showed severe mitral insufficiency. At transoesophageal echocardiography a large mass was seen in the right atrium. The differential diagnosis was a thrombus or an intracardiac tumour. Subsequent histology revealed a non-Hodgkin lymphoma in the right atrium, the wall of the left atrium extending to the mitral valve and further location in the pelvis and duodenum. The discussion incorporates a brief overview of the literature.
Schoeters
P
P
Department of Intensive Care Medicine, Sint Vincentius General Hospital, Antwerp, Belgium.
De Raedt
H
H
Colemont
L
L
D000368:Aged; D005260:Female; D006333:Heart Failure / Q000000981:diagnostic imaging* / Q000209:etiology* / Q000401:mortality; D006338:Heart Neoplasms / Q000150:complications* / Q000401:mortality / Q000473:pathology; D006801:Humans; D016393:Lymphoma, B-Cell / Q000150:complications* / Q000401:mortality / Q000473:pathology; D014463:Ultrasonography; D018754:Ventricular Dysfunction / Q000000981:diagnostic imaging* / Q000209:etiology* / Q000401:mortality