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Complete heart block as a complicating feature of a mediastinal lymphoma.
- Source :
- BMJ Case Reports; Apr2012, p1-6, 6p
- Publication Year :
- 2012
-
Abstract
- Malignant lymphomas represent about 9% of cardiac neoplasms. Despite its life-threatening nature, the cardiac manifestations are often subclinical. In about 20% of deaths from lymphoma, cardiac involvement is found only in autopsy. The authors present the case of a 77-year-old female admitted due to intense back pain, vomiting, generalised pruritus, fatigue and weight loss. She had a personal history of hypertension and breast cancer was noted 10 years before admission. The thoracoabdominopelvic CT showed a mass in the left atrium with extension to the right atrium and inferior vena cava, and a paravertebral mass at D10-D11 with invasion of the spinal canal and hepatic hilum. The transthoracic paravertebral mass biopsy was compatible with a diffuse large B cell lymphoma. The patient developed a complete atrioventricular block, with haemodynamic instability, requiring urgent chemoreduction of the paracardiac mass and implantation of an epicardial pacemaker. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 1757790X
- Database :
- Complementary Index
- Journal :
- BMJ Case Reports
- Publication Type :
- Academic Journal
- Accession number :
- 74971703
- Full Text :
- https://doi.org/10.1136/bcr.10.2011.4890