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A Case of Primary Cardiac Lymphoma Mimicking Acute Coronary and Aortic Syndrome

2012; Korean Society of Circulation; Volume: 42; Issue: 11 Linguagem: Inglês

10.4070/kcj.2012.42.11.776

1738-5555

Sung Woo Cho, Byung Kyu Kim, Jin Tae Hwang, Jeong Hoon Kim, Byung Ok Kim, Choong Won Goh, Kun Joo Rhee, Hyo Seung Ahn, Hyun Jung Kim, Young Sup Byun,

Cardiovascular Effects of Exercise

Primary cardiac lymphoma (PCL) is a rare disorder, but the incidence is increasing and its clinical manifestations are various. We report a case of PCL, which mimics an acute coronary and aortic syndrome. A 51 year-old female was presented with chest pain radiating to the back. Her initial electrocardiogram revealed T wave inversion in the leads of V 5-6, II, III and aVF. Additionally, cardiac troponin-T was slightly elevated. Chest radiography showed marked mediastinal widening. Computed tomography scan showed a huge pericardial mass. The histopathologic findings of the mass were compatible with diffuse large B cell lymphoma. She died of refractory ventricular tachycardia, probably, due to an extensive infiltration of PCL to the myocardium.