Cardiac lymphoma with first manifestation of recurrent syncope-a case report and literature review

Case report

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Author: Joseph Nybo Lin

Published Date February 2010 Volume 2010:3 Pages 1 - 7

DOI: http://dx.doi.org/10.2147/IMCRJ.S9269

Joseph Nybo Lin

Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA

Abstract: Cardiac involvement, as an initial presentation of malignant lymphoma is rare. We report a 42-year-old Taiwanese man with frequent syncope. Routine electrocardiography disclosed complete atrioventricular block. Before permanent pacemaker implantation was undertaken, transthoracic echocardiography revealed a solid mass infiltrating the left atrium and interatrial septum. Transesophageal echocardiography proved cardiac neoplasm with biatrial infiltration. Endomyocardial tissue biopsy was performed under angiography guide. Pathology diagnosis unraveled large B-cell lymphoma. Despite aggressive chemotherapy, the patient’s condition worsened and he died 2 months later.

Keywords: primary cardiac lymphoma, complete atrioventricular block