title: Successful Robotic Excision and Early Chemotherapy for Primary Cardiac Lymphoma.
abstract: We present a 67-year-old patient who underwent robotic excision of a mobile left ventricular mass found incidentally on echocardiography. Intraoperative findings revealed a pedunculated mass infiltrating the interventricular septum, and the results of pathologic examination of the frozen section were consistent with malignancy. The final pathologic examination showed a diffuse large B-cell lymphoma, and early chemotherapy was initiated. Follow-up cardiac positron emission tomography/computed tomography showed completely normal myocardium without evidence of malignancy. The lateral endoscopic robotic approach across the mitral valve permitted optimal tumor visualization and early chemotherapy initiation without concern for cardiac rupture or related adverse events.
authors.affiliation: Division of Cardiac Surgery, McGill University, Montreal, Quebec, Canada.
authors.forename: Emmanuel
authors.initials: E
authors.lastname: Moss
authors.affiliation: Department of Hematology and Medical Oncology, Emory University School of Medicine, Atlanta, Georgia.
authors.forename: Daniel A
authors.initials: DA
authors.lastname: Goldstein
authors.affiliation: Department of Pathology and Laboratory Medicine, Emory University School of Medicine, Atlanta, Georgia.
authors.forename: Kyle T
authors.initials: KT
authors.lastname: Bradley
authors.affiliation: Department of Hematology and Medical Oncology, Emory University School of Medicine, Atlanta, Georgia.
authors.forename: Christopher R
authors.initials: CR
authors.lastname: Flowers
authors.affiliation: Division of Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, Georgia. Electronic address: douglas.murphy@emory.edu.
authors.forename: Douglas A
authors.initials: DA
authors.lastname: Murphy
mesh_terms: D000970:Antineoplastic Agents / Q000627:therapeutic use*; D001999:Bronchoscopy; D006348:Cardiac Surgical Procedures / Q000379:methods*; D004452:Echocardiography; D005260:Female; D006338:Heart Neoplasms / Q000175:diagnosis / Q000628:therapy*; D006352:Heart Ventricles; D006801:Humans; D016403:Lymphoma, Large B-Cell, Diffuse / Q000175:diagnosis / Q000628:therapy*; D008875:Middle Aged; D012371:Robotics / Q000379:methods*; D014057:Tomography, X-Ray Computed
chemical_list: D000970:Antineoplastic Agents