Raza Munis, Ikram Sohail, Williams Nina, Otero Diana, Barry Neil, Kelsey Natalie, Kahlon Tanvir, Singh Vikas
UNIVERSITY OF LOUISVILLE, LOUISVILLE, KENTUCKY.
Methodist Debakey Cardiovasc J. 2020 Apr-Jun;16(2):158-161. doi: 10.14797/mdcj-16-2-158.
The incidence of primary cardiac tumors is exceedingly rare, whereas secondary cardiac tumors are more common in the global population. Cardiac involvement is seen in approximately 18% of patients with non-Hodgkin's lymphoma at the time of autopsy. Clinical manifestations of cardiac involvement are subtle and often go unrecognized until advanced stages of the disease. We present a rare case of metastatic cardiac lymphoma that presented as an ST-segment elevation myocardial infarction complicated by left ventricular free wall rupture and cardiogenic shock due to transmural myocardial necrosis from malignant cell infiltration.
原发性心脏肿瘤的发病率极为罕见，而继发性心脏肿瘤在全球人群中更为常见。在尸检时，约18%的非霍奇金淋巴瘤患者会出现心脏受累。心脏受累的临床表现较为隐匿，在疾病晚期之前常常未被识别。我们报告一例罕见的转移性心脏淋巴瘤病例，该病例表现为ST段抬高型心肌梗死，并发左心室游离壁破裂和心源性休克，这是由于恶性细胞浸润导致透壁性心肌坏死所致。
