title: CD20 negative B-cell lymphoma presenting as constrictive pericarditis: Rare etiology of acute heart failure.
abstract: We describe a case report of a young girl, who presented with symptoms and signs of acute decompensated heart failure not responding to decongestive therapy. Routine 2D echocardiography revealed a diagnosis of constrictive pericarditis. She underwent pericardiectomy, and etiology of it turned out to be CD20 negative B-cell lymphoblastic primary cardiac lymphoma (PCL). Despite intensive medical and surgical management, it was fatal. PCL is uncommon among cardiac tumors and extremely rare in immunocompetent patients. Constrictive pericarditis is a rare clinical diagnosis and manifestation of pericardial involvement in PCL.
authors.affiliation: Consultant Cardiologist, Indo-US Super specialty Hospital, Shyam Karan Road, Ameerpet, Hyderabad, Telangana 500016, India. Electronic address: Pankaj_jariwala@hotmail.com.
authors.forename: Pankaj
authors.initials: P
authors.lastname: Jariwala
authors.affiliation: Consultant Cardiothoracic Surgeon, Indo-US Super specialty Hospital, Shyam Karan Road, Ameerpet, Hyderabad, Telangana 500016, India.
authors.forename: Satya Sridhar
authors.initials: SS
authors.lastname: Kale
mesh_terms: D000208:Acute Disease; D000293:Adolescent; D018951:Antigens, CD20 / Q000276:immunology*; D001706:Biopsy; D003937:Diagnosis, Differential; D004452:Echocardiography; D017809:Fatal Outcome; D005260:Female; D006333:Heart Failure / Q000175:diagnosis / Q000209:etiology*; D006338:Heart Neoplasms / Q000150:complications* / Q000175:diagnosis; D006352:Heart Ventricles; D006801:Humans; D016393:Lymphoma, B-Cell / Q000150:complications* / Q000175:diagnosis / Q000276:immunology; D010492:Pericardiectomy; D010494:Pericarditis, Constrictive / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D014057:Tomography, X-Ray Computed
chemical_list: D018951:Antigens, CD20
keywords: Acute decompensated heart failure; Constrictive pericarditis; Pericardial effusion; Primary cardiac lymphoma