Pirzada Ashar, Connors Sean, Harris Scott, Adams Corey
Department of Internal Medicine, Memorial University, St. John's, NL, Canada.
Cardiology. 2017;138(4):259-263. doi: 10.1159/000479676. Epub 2017 Sep 27.
Primary cardiac T cell lymphoma is an extremely rare condition with only a handful of biopsy-proven cases worldwide. We present a 62-year-old female presenting with nonspecific chest discomfort, shortness of breath, and anterolateral ST-elevation on electrocardiogram mimicking a ST-elevation myocardial infarction. Imaging revealed a cardiac mass and cardiac catheterization showed diffuse noncritical coronary disease with an occluded 2nd diagonal branch. Biopsy via minimally invasive cardiac surgery showed a pathologically proven diagnosis of primary cardiac T cell lymphoma. To our knowledge, this is the first documented case worldwide of primary cardiac T cell lymphoma that has resulted in ST-elevation mimicking a myocardial infarction.
原发性心脏T细胞淋巴瘤是一种极其罕见的疾病，全球仅有少数经活检证实的病例。我们报告一例62岁女性，表现为非特异性胸部不适、呼吸急促，心电图显示前侧壁ST段抬高，酷似ST段抬高型心肌梗死。影像学检查发现心脏有肿块，心脏导管检查显示弥漫性非重度冠状动脉疾病，第二对角支闭塞。通过微创心脏手术进行活检，病理证实为原发性心脏T细胞淋巴瘤。据我们所知，这是全球首例记录在案的原发性心脏T细胞淋巴瘤导致酷似心肌梗死的ST段抬高的病例。
