Surgical treatment of a primary cardiac lymphoma presenting with tamponade physiology.
Primary cardiac lymphomas (PCL) are rare cardiac neoplasms that carry an ominous prognosis. They occur more frequently in immunocompromised patients. We report on an immunocompetent 67-year-old who presented with dyspnea and dysphagia. Echocardiographic evidence of impending cardiac tamponade and obstruction of the inferior vena cava (IVC) with the tumor was seen. The deteriorating hemodynamics of our patient prompted an urgent surgical intervention. Pathohistological diagnosis showed diffuse large B-cell lymphoma of centroblastic subtype. Chemotherapy remains the standard treatment of PCL, with surgery reserved for relieving life-threatening complications of the neoplasm.
Gosev
Igor
I
Department of Cardiac Surgery, University Hospital Zagreb, Kispaticeva 12, 10000 Zagreb, Croatia.
Sirić
Franjo
F
Gasparović
Hrvoje
H
Ugljen
Ranko
R
Nola
Marin
M
Jelić
Ivan
I
D000368:Aged; D006348:Cardiac Surgical Procedures; D002305:Cardiac Tamponade / Q000175:diagnosis / Q000276:immunology / Q000503:physiopathology* / Q000601:surgery; D002315:Cardiopulmonary Bypass; D003937:Diagnosis, Differential; D004452:Echocardiography; D006325:Heart Atria / Q000000981:diagnostic imaging / Q000473:pathology; D006338:Heart Neoplasms / Q000175:diagnosis* / Q000276:immunology / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D016867:Immunocompromised Host; D016393:Lymphoma, B-Cell / Q000175:diagnosis* / Q000276:immunology / Q000503:physiopathology / Q000601:surgery*; D016403:Lymphoma, Large B-Cell, Diffuse / Q000175:diagnosis* / Q000276:immunology / Q000503:physiopathology / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D008297:Male