Heart and Vessels

, Volume 22, Issue 1, pp 52–54

Primary cardiac lymphoma presenting as atrial flutter and total heart block

Authors

    • Department of Internal MedicineUniversity Clinic of Cardiovascular Diseases, Clinical Medical Centre Rebro
  • Ljiljana Banfić
    • Department of Internal MedicineUniversity Clinic of Cardiovascular Diseases, Clinical Medical Centre Rebro
  • Maja Strozzi
    • Department of Internal MedicineUniversity Clinic of Cardiovascular Diseases, Clinical Medical Centre Rebro
  • Igor Aurer
    • Division of HematologyUniversity Clinic of Cardiovascular Diseases, Clinical Medical Centre Rebro
  • Dražen Jelašić
    • Department of PathologyUniversity Clinic of Cardiovascular Diseases, Clinical Medical Centre Rebro
CASE REPORT

DOI: 10.1007/s00380-006-0924-2

Cite this article as:
Bulum, J., Banfić, L., Strozzi, M. et al. Heart Vessels (2007) 22: 52. doi:10.1007/s00380-006-0924-2

Abstract

Primary cardiac lymphoma is extremely rare. We present the case of a 70-year-old man with primary cardiac lymphoma involving interatrial septum, presenting as atrial flutter and total heart block. The diagnosis was obtained by echocardiography-guided transvenous endocardial biopsy which revealed diffuse large B-cell non-Hodgkin's lymphoma, CD 20+. After six courses of immunochemotherapy the patient achieved complete remission. After 2 months he developed a series of epileptic attacks. Intracerebral lymphoma extension was diagnosed. Two cycles of high-dose methotrexate and cranial irradiation were applied, resulting in a second complete remission.

Key words

Non-Hodgkin's lymphomaHeart neoplasmHeart blockEchocardiographyChemotherapy

Copyright information

© Springer-Verlag Tokyo 2007