Case Report: A case of third-degree atrioventricular block associated with primary cardiac lymphoma
BackgroundPrimary cardiac lymphoma is an extremely rare malignant lymphoma, with clinical manifestations related to its location. We reported the diagnosis and treatment of primary cardiac lymphoma in a patient presented with atrioventricular block.Case presentationA 64 year-old man was admitted to...
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| Format: | Article |
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Frontiers Media S.A.
2024-02-01
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| Series: | Frontiers in Cardiovascular Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fcvm.2024.1356134/full |
| _version_ | 1797293056159907840 |
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| author | Jianping Liu Yong Zheng Weishan Zhang Juan Xia Yongheng Zhang Long Tang |
| author_facet | Jianping Liu Yong Zheng Weishan Zhang Juan Xia Yongheng Zhang Long Tang |
| author_sort | Jianping Liu |
| collection | DOAJ |
| description | BackgroundPrimary cardiac lymphoma is an extremely rare malignant lymphoma, with clinical manifestations related to its location. We reported the diagnosis and treatment of primary cardiac lymphoma in a patient presented with atrioventricular block.Case presentationA 64 year-old man was admitted to our hospital because of symptoms of a tired heart and shortness of breath. The initial electrocardiogram revealed a third-degree atrioventricular block. Computed tomography scan showed an irregularly shaped right heart, irregular clusters, and relatively weakly enhanced areas in the right auricle, atrium, and ventricle. The local boundary between the lesion, pericardium, and left atrium was unclear, and the ventricular septum was irregular and thickened. Multiple irregular gray neoplasms with less smooth surfaces were observed, with a maximum diameter of approximately 7 cm. Pathological findings confirmed a non-germinal center B cell subtype of diffuse large B-cell lymphoma. After surgical resection of the tumor and implantation of a permanent pacemaker, the symptoms of the patient were significantly improved, allowing subsequent chemotherapy.ConclusionSurgical resection and placement of a permanent pacemaker were effective treatments for a patient with primary cardiac lymphoma presented with atrioventricular block. |
| first_indexed | 2024-03-07T20:06:24Z |
| format | Article |
| id | doaj.art-c4d02ee6283548bf81b1c7f85758a6d5 |
| institution | Directory Open Access Journal |
| issn | 2297-055X |
| language | English |
| last_indexed | 2024-03-07T20:06:24Z |
| publishDate | 2024-02-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Cardiovascular Medicine |
| spelling | doaj.art-c4d02ee6283548bf81b1c7f85758a6d52024-02-28T05:07:52ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2024-02-011110.3389/fcvm.2024.13561341356134Case Report: A case of third-degree atrioventricular block associated with primary cardiac lymphomaJianping Liu0Yong Zheng1Weishan Zhang2Juan Xia3Yongheng Zhang4Long Tang5Department of Cardiovascular Surgery, Suining Central Hospital, Suining, Sichuan, ChinaDepartment of Cardiovascular Surgery, Suining Central Hospital, Suining, Sichuan, ChinaDepartment of Pathology, Suining Central Hospital, Suining, Sichuan, ChinaDepartment of Hospital-Acquired Infection Control, Suining Central Hospital, Suining, Sichuan, ChinaDepartment of Cardiovascular Surgery, Suining Central Hospital, Suining, Sichuan, ChinaDepartment of Cardiovascular Surgery, Suining Central Hospital, Suining, Sichuan, ChinaBackgroundPrimary cardiac lymphoma is an extremely rare malignant lymphoma, with clinical manifestations related to its location. We reported the diagnosis and treatment of primary cardiac lymphoma in a patient presented with atrioventricular block.Case presentationA 64 year-old man was admitted to our hospital because of symptoms of a tired heart and shortness of breath. The initial electrocardiogram revealed a third-degree atrioventricular block. Computed tomography scan showed an irregularly shaped right heart, irregular clusters, and relatively weakly enhanced areas in the right auricle, atrium, and ventricle. The local boundary between the lesion, pericardium, and left atrium was unclear, and the ventricular septum was irregular and thickened. Multiple irregular gray neoplasms with less smooth surfaces were observed, with a maximum diameter of approximately 7 cm. Pathological findings confirmed a non-germinal center B cell subtype of diffuse large B-cell lymphoma. After surgical resection of the tumor and implantation of a permanent pacemaker, the symptoms of the patient were significantly improved, allowing subsequent chemotherapy.ConclusionSurgical resection and placement of a permanent pacemaker were effective treatments for a patient with primary cardiac lymphoma presented with atrioventricular block.https://www.frontiersin.org/articles/10.3389/fcvm.2024.1356134/fullcardiac lymphomaatrioventricular blockdiffuse large B-cell lymphomacase reportdiagnosistreatment |
| spellingShingle | Jianping Liu Yong Zheng Weishan Zhang Juan Xia Yongheng Zhang Long Tang Case Report: A case of third-degree atrioventricular block associated with primary cardiac lymphoma Frontiers in Cardiovascular Medicine cardiac lymphoma atrioventricular block diffuse large B-cell lymphoma case report diagnosis treatment |
| title | Case Report: A case of third-degree atrioventricular block associated with primary cardiac lymphoma |
| title_full | Case Report: A case of third-degree atrioventricular block associated with primary cardiac lymphoma |
| title_fullStr | Case Report: A case of third-degree atrioventricular block associated with primary cardiac lymphoma |
| title_full_unstemmed | Case Report: A case of third-degree atrioventricular block associated with primary cardiac lymphoma |
| title_short | Case Report: A case of third-degree atrioventricular block associated with primary cardiac lymphoma |
| title_sort | case report a case of third degree atrioventricular block associated with primary cardiac lymphoma |
| topic | cardiac lymphoma atrioventricular block diffuse large B-cell lymphoma case report diagnosis treatment |
| url | https://www.frontiersin.org/articles/10.3389/fcvm.2024.1356134/full |
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