Successful treatment of primary cardiac lymphoma with atrioventricular nodal block.
A 69-year-old female suffering from third-degree atrioventricular block with syncope underwent permanent pacemaker implantation. However, she developed shortness of breath 2 months after the implantation. Blood tests revealed elevated levels of LDH, CRP, BNP, and SIL-2R. Transthoracic echocardiography showed thickened left and right atrial walls with mild pericardial effusion. A diagnosis was made based on a CT scan and histology. Although most primary cardiac malignant lymphomas are associated with a poor prognosis, the patient was treated successfully with chemotherapy.
Takenaka
Sou
S
Department of Cardiology, Kurashiki Central Hospital, Miwa, Okayama, Japan.
Mitsudo
Kazuaki
K
Inoue
Katsumi
K
Goto
Tsuyoshi
T
Kadota
Kazushige
K
Fujii
Satoki
S
Yamamoto
Hiroyuki
H
Fuku
Yasushi
Y
Hirono
Akitoshi
A
Tanaka
Hiroyuki
H
Taba
Masanao
M
Ikeda
Atsushi
A
Kojima
Yoji
Y
Maekawa
Junpei
J
Maekawa
Sachiko
S
Takahashi
Natsuki
N
Saeki
Hajime
H
Nakamura
Yukinobu
Y
Oonishi
Tatsuhito
T
Ueda
Natsuki
N
D000368:Aged; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000008:administration & dosage / Q000627:therapeutic use*; D003520:Cyclophosphamide / Q000008:administration & dosage; D004317:Doxorubicin / Q000008:administration & dosage; D004334:Drug Administration Schedule; D005260:Female; D006327:Heart Block / Q000150:complications* / Q000628:therapy; D006338:Heart Neoplasms / Q000188:drug therapy* / Q000209:etiology; D006801:Humans; D016393:Lymphoma, B-Cell / Q000188:drug therapy* / Q000209:etiology; D016403:Lymphoma, Large B-Cell, Diffuse / Q000188:drug therapy* / Q000209:etiology; D010138:Pacemaker, Artificial; D011239:Prednisolone / Q000008:administration & dosage; D014750:Vincristine / Q000008:administration & dosage
D014750:Vincristine; D004317:Doxorubicin; D003520:Cyclophosphamide; D011239:Prednisolone