engleski

Primary cardiac lymphoma presenting as atrial flutter and total heart block

Primary cardiac lymphoma is extremely rare. We present a case of 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 lymphoma, CD 20 +. After six courses of immunochemotherapy the patient achieved a complete remission. After two months he developed a series of epileptic attacks. Intracerebral lymphoma extension was diagnosed. Two cycles of high dose of methotrexate and cranial irradiation were applied resulting in a second complete remission.

Non-Hodgkin lymphoma ; Heart neoplasms ; Heart block ; Echocardiography ; Chemotherapy

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