Tanaka Yasuaki, Yamabe Hiroshige, Yamasaki Hiroshi, Tsuda Hiroyuki, Nagayoshi Yasuhiro, Kawano Hiroaki, Kimura Yoshihiro, Hokamura Yoichi, Ogawa Hisao
Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan.
Pacing Clin Electrophysiol. 2009 Jun;32(6):816-9. doi: 10.1111/j.1540-8159.2009.02372.x.
We report a long-term survival case of primary cardiac lymphoma with reversible ventricular tachycardia (VT) and complete atrioventricular block (C-AVB). A 65-year-old man with VT was treated by oral amiodarone administration. Later, a dual-chamber pacemaker was implanted because of C-AVB. Then, he was readmitted, as he complained of fever and chest pain. Echocardiography showed an enlarged cardiac mass and thus an open-chest biopsy was performed. He was then diagnosed with primary cardiac lymphoma. The chemotherapy and radiotherapy resulted in the disappearance of the mass. Complete remission has been maintained for 8 years after the therapy, and no VT or C-AVB has been detected.
我们报告一例原发性心脏淋巴瘤伴可逆性室性心动过速（VT）和完全性房室传导阻滞（C-AVB）的长期存活病例。一名患有室性心动过速的65岁男性接受了口服胺碘酮治疗。后来，由于完全性房室传导阻滞植入了双腔起搏器。之后，他因发热和胸痛再次入院。超声心动图显示心脏肿块增大，因此进行了开胸活检。随后他被诊断为原发性心脏淋巴瘤。化疗和放疗使肿块消失。治疗后完全缓解已维持8年，未检测到室性心动过速或完全性房室传导阻滞。
