Ling Wang1, Lixia Cai1, Xiangyu Chen2, Zhelan Zheng3. 1. Department of Ultrasound, Zhuji People's Hospital of Zhejiang Province, Zhuji. 2. Department of Ultrasound, Zhuji People's Hospital of Zhejiang Province, Zhuji Affiliated Hospital of Shaoxing University, Zhuji, China. 3. Department of Ultrasound, The First Affiliated Hospital of Zhejiang University, Zhejiang.
Abstract
RATIONALE: Primary cardiac lymphoma is a rare tumor, especially a tumor located in coronary sinus (CS). The most common symptom of cardiac tumors is dyspnea, accounting for 64%, followed by chest pain, accounting for 26%. However, the cases with paroxysmal supraventricular tachycardia (SVT) as a major clinical presentation are extremely rare. PATIENT CONCERNS: We report a 55-year-old female patient with primary CS lymphoma and paroxysmal SVT. DIAGNOSES: After the surgical resection, pathology revealed the evidence of diffuse large B-cell lymphoma. INTERVENTIONS: The patient underwent chemotherapy after CS tumor resection. OUTCOMES: The patient was disease-free during the 6-month follow-up. LESSONS: CS enlargement may be the cause of SVT. Echocardiography should focus on the CS section to arrive at the right diagnosis.
RATIONALE: Primary cardiac lymphoma is a rare tumor, especially a tumor located in coronary sinus (CS). The most common symptom of cardiac tumors is dyspnea, accounting for 64%, followed by chest pain, accounting for 26%. However, the cases with paroxysmal supraventricular tachycardia (SVT) as a major clinical presentation are extremely rare. PATIENT CONCERNS: We report a 55-year-old female patient with primary CS lymphoma and paroxysmal SVT. DIAGNOSES: After the surgical resection, pathology revealed the evidence of diffuse large B-cell lymphoma. INTERVENTIONS: The patient underwent chemotherapy after CS tumor resection. OUTCOMES: The patient was disease-free during the 6-month follow-up. LESSONS: CS enlargement may be the cause of SVT. Echocardiography should focus on the CS section to arrive at the right diagnosis.
Authors: Sang Min Park; Chi Young Shim; Donghoon Choi; Ji-Hyun Lee; Sung Ai Kim; Eui-Young Choi; Jong-Won Ha; Namsik Chung Journal: J Am Soc Echocardiogr Date: 2009-12-03 Impact factor: 5.251
Authors: Jinah Kim; Bo Da Nam; Jung Hwa Hwang; Soo Bin Park; Min-Ho Lee; Dong Won Kim; Young Woo Park; Min-Young Lee Journal: Medicine (Baltimore) Date: 2019-04 Impact factor: 1.817