Schneider Christine M, Buiatti Alessandra, Schwamborn Kristina, Dirschinger Ralf J
Department of Cardiology, Klinikum rechts der Isar, Technical University Munich, Ismaningerstr. 22, Munich, Germany.
Department of Pathology, Klinikum rechts der Isar, Technical University Munich, Trogerstr. 18, Munich, Germany.
Eur Heart J Case Rep. 2018 Apr 9;2(2):yty037. doi: 10.1093/ehjcr/yty037. eCollection 2018 Jun.
Human herpesvirus-8-associated B-cell lymphoma is a common disease entity in immunocompromised individuals, particularly in patients with chronic HIV-infection or AIDS. However, cardiac manifestations are extremely rare. Tissue for histopathology of left cardiac tumours is most commonly obtained by open surgery.
In this report, we present a case of a solitary left atrial manifestation of an HHV8+ B-cell lymphoma in a 59-year-old patient presenting with B symptoms and a cardiac mass on echocardiography. Due to the high operative risk of the patient, a transcatheter/trans-septal biopsy was performed to establish the diagnosis.
In the era of routine trans-septal catheter interventions, this approach may represent a straight-forward, minimally invasive alternative for patients at high risk for surgery.
人疱疹病毒8型相关B细胞淋巴瘤在免疫功能低下个体中是一种常见的疾病实体，尤其是在慢性HIV感染或艾滋病患者中。然而，心脏表现极为罕见。左心肿瘤的组织病理学检查组织最常通过开放手术获取。
在本报告中，我们呈现了一例59岁患者，其患有HHV8+B细胞淋巴瘤，表现为B症状且超声心动图显示有心脏肿块，该肿瘤为孤立性左心房表现。由于患者手术风险高，遂进行经导管/经中隔活检以明确诊断。
在常规经中隔导管介入的时代，这种方法对于手术风险高的患者可能是一种直接、微创的替代方案。
