Epicardial pacemaker implantation for sick sinus syndrome in a patient with supra vena cava obstructed by a primary cardiac lymphoma.
Epicardial lead
Epicardial pacemaker
Primary cardiac lymphoma
Sick sinus syndrome
Journal
Journal of cardiology cases
ISSN: 1878-5409
Titre abrégé: J Cardiol Cases
Pays: Japan
ID NLM: 101549579
Informations de publication
Date de publication:
Jun 2020
Jun 2020
Historique:
received:
17
12
2019
accepted:
01
03
2020
entrez:
18
6
2020
pubmed:
18
6
2020
medline:
18
6
2020
Statut:
epublish
Résumé
Primary cardiac lymphoma (PCL) involves the heart and pericardium. Symptoms may vary according to the cardiac site involved. The most frequent cardiac manifestations associated with PCL are pericardial effusion, heart failure, and atrioventricular block. PCL can be diagnosed using transesophageal echocardiography, computed tomography (CT), or magnetic resonance imaging. We herein discuss a 67-year-old male patient who presented with sick sinus syndrome. CT demonstrated a tumor in the right atrium obstructing the superior vena cava. The patient underwent a diagnostic lateral thoracotomy with concomitant epicardial pacemaker insertion. Histological examination revealed a diffuse large B cell lymphoma, and chemotherapy, including rituximab, was begun. A diagnostic thoracotomy is crucial for a definitive diagnosis of PCL, and the most effective treatment is chemotherapy. <
Identifiants
pubmed: 32547661
doi: 10.1016/j.jccase.2020.03.007
pii: S1878-5409(20)30023-2
pmc: PMC7283289
doi:
Types de publication
Case Reports
Langues
eng
Pagination
234-237Informations de copyright
© 2020 Published by Elsevier Ltd on behalf of Japanese College of Cardiology.
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