Ventricular tachycardia reveals cardiac infiltration due to mediastinal lymphoma.
A 61-year-old man was referred to us for palpitations and ventricular tachycardia. After being treated by chemotherapy for a mediastinum lymphoplasmocytic lymphoma, a ventricular tachycardia (VT) occurred. It was well tolerated. Several imaging techniques showed that this VT was related to a tumoural infiltration of the anterior part of the right ventricle by the lymphoma. Ventricular arrhythmias were controlled under antiarrhythmic drugs and chemotherapy was continued, with close cardiac follow-up. Complete remission was reached with restoration of a normal right ventricular function and resolution of the ventricular arrhythmias.
Algalarrondo
Vincent
V
Thoracic Department, Antoine Béclère Hospital, Clamart, France. vincent.algalarrondo@abc.aphp.fr
Misra
Srimanta C
SC
Bennani
Soumia L
SL
Mabille
Mylene
M
Cavailloles
Françoise
F
Machover
David
D
Slama
Michel S
MS
D002037:Bundle-Branch Block / Q000209:etiology; D004562:Electrocardiography; D006352:Heart Ventricles / Q000473:pathology; D006801:Humans; D008297:Male; D008479:Mediastinal Neoplasms / Q000188:drug therapy / Q000473:pathology*; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D049268:Positron-Emission Tomography; D012008:Recurrence; D017180:Tachycardia, Ventricular / Q000175:diagnosis / Q000209:etiology; D008258:Waldenstrom Macroglobulinemia / Q000188:drug therapy / Q000473:pathology*