Heart and Vessels

, Volume 22, Issue 1, pp 52–54 | Cite as

Primary cardiac lymphoma presenting as atrial flutter and total heart block

  • Joško Bulum
  • Ljiljana Banfić
  • Maja Strozzi
  • Igor Aurer
  • Dražen Jelašić
CASE REPORT

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 lymphoma Heart neoplasm Heart block Echocardiography Chemotherapy 

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Copyright information

© Springer-Verlag Tokyo 2007

Authors and Affiliations

  • Joško Bulum
    • 1
  • Ljiljana Banfić
    • 1
  • Maja Strozzi
    • 1
  • Igor Aurer
    • 2
  • Dražen Jelašić
    • 3
  1. 1.Department of Internal MedicineUniversity Clinic of Cardiovascular Diseases, Clinical Medical Centre RebroZagrebCroatia
  2. 2.Division of HematologyUniversity Clinic of Cardiovascular Diseases, Clinical Medical Centre RebroZagrebCroatia
  3. 3.Department of PathologyUniversity Clinic of Cardiovascular Diseases, Clinical Medical Centre RebroZagrebCroatia

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