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.
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Bulum, J., Banfić, L., Strozzi, M. et al. Primary cardiac lymphoma presenting as atrial flutter and total heart block. Heart Vessels 22, 52–54 (2007). https://doi.org/10.1007/s00380-006-0924-2
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DOI: https://doi.org/10.1007/s00380-006-0924-2