Primary Cardiac Lymphoma Diagnosed With Transesophageal Echocardiography–Guided Endomyocardial Biopsy
2000; Lippincott Williams & Wilkins; Volume: 101; Issue: 17 Linguagem: Inglês
10.1161/01.cir.101.17.e179
ISSN1524-4539
AutoresF. Burling, Gerard Devlin, S. Heald,
Tópico(s)Lymphoma Diagnosis and Treatment
ResumoHomeCirculationVol. 101, No. 17Primary Cardiac Lymphoma Diagnosed With Transesophageal Echocardiography–Guided Endomyocardial Biopsy Free AccessOtherPDF/EPUBAboutView PDFView EPUBSections ToolsAdd to favoritesDownload citationsTrack citationsPermissions ShareShare onFacebookTwitterLinked InMendeleyReddit Jump toFree AccessOtherPDF/EPUBPrimary Cardiac Lymphoma Diagnosed With Transesophageal Echocardiography–Guided Endomyocardial Biopsy F. Burling, G. Devlin and S. Heald F. BurlingF. Burling From the Department of Cardiology, Waikato Hospital, Hamilton, New Zealand. , G. DevlinG. Devlin From the Department of Cardiology, Waikato Hospital, Hamilton, New Zealand. and S. HealdS. Heald From the Department of Cardiology, Waikato Hospital, Hamilton, New Zealand. Originally published2 May 2000https://doi.org/10.1161/01.CIR.101.17.e179Circulation. 2000;101:e179–e181A 77-year-old woman presented with a 10-month history of tiredness, shortness of breath, and ankle swelling. Examination revealed signs consistent with right heart failure with marked peripheral edema and auscultatory evidence consistent with tricuspid stenosis.Transthoracic echocardiography showed a large right atrial mass impinging on the tricuspid valve causing functional tricuspid stenosis (Figure 1).Endomyocardial biopsy was performed under transesophageal echocardiographic guidance (Figure 2).Histology confirmed B-cell lymphoma, and radiotherapy was begun. At 1-month follow-up, transthoracic echocardiography showed the right atrial mass to have decreased significantly in size (Figure 3). The editor of Images in Cardiovascular Medicine is Hugh A. McAllister, Jr, MD, Chief, Department of Pathology, St Luke's Episcopal Hospital and Texas Heart Institute, and Clinical Professor of Pathology, University of Texas Medical School and Baylor College of Medicine.Circulation encourages readers to submit cardiovascular images to the Circulation Editorial Office, St Luke's Episcopal Hospital and Texas Heart Institute, 6720 Bertner Ave, MC1-267, Houston, TX 77030.Download figureDownload PowerPoint Figure 1. Four-chamber transthoracic echocardiogram showing large mass almost completely obliterating right atrium (RA), invading tricuspid valve (Tri) apparatus, and extending into right ventricle (RV). LV indicates left ventricle; AO, aortic valve; and LA, left atrium.Download figureDownload PowerPoint Figure 2. Biplane transesophageal echocardiographic guidance biopsy of right atrial mass. F indicates forceps; RA, right atrium.Download figureDownload PowerPoint Figure 3. Follow-up transthoracic 4-chamber echocardiogram after radiotherapy for cardiac lymphoma. Previously noted mass in right ventricle and right atrium has decreased significantly in size. Abbreviations as in Figure 1.FootnotesCorrespondence to Dr G. Devlin, Cardiologist, Waikato Hospital, Pembroke St, Private Bag 3200, Hamilton, New Zealand. E-mail [email protected] Previous Back to top Next FiguresReferencesRelatedDetailsCited By Klarich K and Maleszewskic J (2023) Neoplasms and the heart Cardio-Oncology Practice Manual : a Companion to Braunwald 's Heart Disease, 10.1016/B978-0-323-68135-3.00062-3, (439-450), . Chang L, Gong C, Lu H, Liu Y, Kang L, Chen J, Wang L and Xu B (2022) Percutaneous intravenous catheter forceps biopsy in right atrial mass: two case reports and literature review, BMC Cardiovascular Disorders, 10.1186/s12872-022-02507-x, 22:1, Online publication date: 1-Dec-2022. 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