Trifunovic Danijela, Vujisic-Tesic Bosiljka, Vuckovic Maja, Ostojic Miodrag, Ristic Arsen, Bogdanovic Andrija, Mihaljevic Biljana, Andjelic Bosko, Perunicic-Jovanovic Maja, Antonic Zelimir
Institute of Cardiovascular Disease, University Clinical Centre of Serbia, Ul. Koste Todorovica 8, 11000, Belgrade, Serbia.
Echocardiography. 2010 Mar;27(3):332-6. doi: 10.1111/j.1540-8175.2009.01074.x.
Cardiac involvement by non-Hodgkin's lymphoma is not uncommon, however rarely diagnosed during life due to nonspecific clinical presentation. We report a case of secondary cardiac lymphoma in patient who presented with new-onset atrial fibrillation. Cardiac lymphoma was in a form of bulky right atrial mass, infiltrating the atrial septum and cavo-atrial junction with concomitant mild pericardial effusion. In the present case, we illustrate complementary role of transthoracic, transesophageal echocardiography and multislice CT scan with three-dimensional reconstruction, in detection and evaluation of secondary cardiac tumor. Usefulness of echocardiography to follow up the effects of chemotherapy is also shown.
非霍奇金淋巴瘤累及心脏并不罕见，但由于临床表现不具特异性，生前很少得到诊断。我们报告一例继发于心脏淋巴瘤的患者，该患者表现为新发房颤。心脏淋巴瘤表现为巨大的右心房肿块，浸润房间隔和腔静脉-心房连接部，同时伴有轻度心包积液。在本病例中，我们展示了经胸、经食管超声心动图以及多层螺旋CT扫描三维重建在继发性心脏肿瘤检测和评估中的互补作用。还显示了超声心动图在随访化疗效果方面的实用性。
