title: A case of primary cardiac lymphoma mimicking acute coronary and aortic syndrome.
abstract: Primary cardiac lymphoma (PCL) is a rare disorder, but the incidence is increasing and its clinical manifestations are various. We report a case of PCL, which mimics an acute coronary and aortic syndrome. A 51 year-old female was presented with chest pain radiating to the back. Her initial electrocardiogram revealed T wave inversion in the leads of V 5-6, II, III and aVF. Additionally, cardiac troponin-T was slightly elevated. Chest radiography showed marked mediastinal widening. Computed tomography scan showed a huge pericardial mass. The histopathologic findings of the mass were compatible with diffuse large B cell lymphoma. She died of refractory ventricular tachycardia, probably, due to an extensive infiltration of PCL to the myocardium.
authors.affiliation: Graduate School of Medical Science and Engineering, Korea Advanced Institute of Science and Technology (KAIST), Daejeon, Korea. ; Division of Cardiology, Department of Internal Medicine, Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Korea.
authors.forename: Sung Woo
authors.initials: SW
authors.lastname: Cho
authors.forename: Byung Kyu
authors.initials: BK
authors.lastname: Kim
authors.forename: Jin Tae
authors.initials: JT
authors.lastname: Hwang
authors.forename: Jeong Hoon
authors.initials: JH
authors.lastname: Kim
authors.forename: Byung Ok
authors.initials: BO
authors.lastname: Kim
authors.forename: Choong Won
authors.initials: CW
authors.lastname: Goh
authors.forename: Kun Joo
authors.initials: KJ
authors.lastname: Rhee
authors.forename: Hyo Seung
authors.initials: HS
authors.lastname: Ahn
authors.forename: Hyun Jung
authors.initials: HJ
authors.lastname: Kim
authors.forename: Young Sup
authors.initials: YS
authors.lastname: Byun