Atrial fibrillation in a pediatric patient caused by an unusual malignant etiology: A case report
This case report describes a 15-year-old patient with a known congenital malformation syndrome and immune deficiency, presenting with new-onset atrial fibrillation (AF) after a recent diagnosis of an intrathoracic mass. Transthoracic echocardiography showed a structurally and functionally normal hea...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-02-01
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| Series: | Frontiers in Pediatrics |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fped.2023.1051041/full |
| _version_ | 1797897051398209536 |
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| author | Jelena Hubrechts Christophe Vô Cécile Boulanger Katherine Carkeek Stéphane Moniotte |
| author_facet | Jelena Hubrechts Christophe Vô Cécile Boulanger Katherine Carkeek Stéphane Moniotte |
| author_sort | Jelena Hubrechts |
| collection | DOAJ |
| description | This case report describes a 15-year-old patient with a known congenital malformation syndrome and immune deficiency, presenting with new-onset atrial fibrillation (AF) after a recent diagnosis of an intrathoracic mass. Transthoracic echocardiography showed a structurally and functionally normal heart and workup confirmed a primary diffuse large B-cell lymphoma, with pericardial and left atrial involvement on cardiac magnetic resonance imaging. Electrical cardioversion was successfully performed to convert the AF and chemotherapy was promptly started. Antiarrhythmic treatment was continued for 6 weeks, without recurrent AF. We discuss the pathogenesis of AF in the setting of malignancies as well as the management strategies of AF, mainly based on adult guidelines. |
| first_indexed | 2024-04-10T07:52:32Z |
| format | Article |
| id | doaj.art-dbf22c3bb0bb4399ac6a97296d7238ae |
| institution | Directory Open Access Journal |
| issn | 2296-2360 |
| language | English |
| last_indexed | 2024-04-10T07:52:32Z |
| publishDate | 2023-02-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Pediatrics |
| spelling | doaj.art-dbf22c3bb0bb4399ac6a97296d7238ae2023-02-23T09:54:12ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602023-02-011110.3389/fped.2023.10510411051041Atrial fibrillation in a pediatric patient caused by an unusual malignant etiology: A case reportJelena Hubrechts0Christophe Vô1Cécile Boulanger2Katherine Carkeek3Stéphane Moniotte4Division of Congenital and Pediatric Cardiology, Department of Pediatrics, University Hospital Saint-Luc, Brussels, BelgiumDivision of Congenital and Pediatric Cardiology, Department of Pediatrics, University Hospital Saint-Luc, Brussels, BelgiumDivision of Pediatric Oncology, Department of Hemato-Oncology, University Hospital Saint-Luc, Brussels, BelgiumDivision of Neonatology, Department of Pediatrics, University Hospital Saint-Luc, Brussels, BelgiumDivision of Congenital and Pediatric Cardiology, Department of Pediatrics, University Hospital Saint-Luc, Brussels, BelgiumThis case report describes a 15-year-old patient with a known congenital malformation syndrome and immune deficiency, presenting with new-onset atrial fibrillation (AF) after a recent diagnosis of an intrathoracic mass. Transthoracic echocardiography showed a structurally and functionally normal heart and workup confirmed a primary diffuse large B-cell lymphoma, with pericardial and left atrial involvement on cardiac magnetic resonance imaging. Electrical cardioversion was successfully performed to convert the AF and chemotherapy was promptly started. Antiarrhythmic treatment was continued for 6 weeks, without recurrent AF. We discuss the pathogenesis of AF in the setting of malignancies as well as the management strategies of AF, mainly based on adult guidelines.https://www.frontiersin.org/articles/10.3389/fped.2023.1051041/fullatrial fibrillationchildlymphomacardiac involvementpericardial invasioncardioversion |
| spellingShingle | Jelena Hubrechts Christophe Vô Cécile Boulanger Katherine Carkeek Stéphane Moniotte Atrial fibrillation in a pediatric patient caused by an unusual malignant etiology: A case report Frontiers in Pediatrics atrial fibrillation child lymphoma cardiac involvement pericardial invasion cardioversion |
| title | Atrial fibrillation in a pediatric patient caused by an unusual malignant etiology: A case report |
| title_full | Atrial fibrillation in a pediatric patient caused by an unusual malignant etiology: A case report |
| title_fullStr | Atrial fibrillation in a pediatric patient caused by an unusual malignant etiology: A case report |
| title_full_unstemmed | Atrial fibrillation in a pediatric patient caused by an unusual malignant etiology: A case report |
| title_short | Atrial fibrillation in a pediatric patient caused by an unusual malignant etiology: A case report |
| title_sort | atrial fibrillation in a pediatric patient caused by an unusual malignant etiology a case report |
| topic | atrial fibrillation child lymphoma cardiac involvement pericardial invasion cardioversion |
| url | https://www.frontiersin.org/articles/10.3389/fped.2023.1051041/full |
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