Doño Angel, Lounsbury Cassidy, Garrett Harvey Edward
Department of Surgery, The University of Tennessee Health Science Center, Memphis, Tennessee, United States.
The Cardiovascular Surgery Clinic, Memphis, Tennessee, United States.
Thorac Cardiovasc Surg Rep. 2024 Jan 22;13(1):e1-e3. doi: 10.1055/a-2228-7405. eCollection 2024 Jan.
Patients with primary cardiac tumors may present with symptoms based on the size and location of the tumor. Symptoms may include congestive heart failure secondary to intracardiac obstruction, systemic embolization, arrhythmias, and constitutional symptoms. A patient presented with new onset atrial fibrillation and heart failure. Workup including open surgery revealed a primary cardiac lymphoma. Cardiac tumors present with a variety of symptoms and are best evaluated by echocardiogram, computed tomography angiography, and magnetic resonance imaging. Tissue diagnosis is necessary. Although primary cardiac lymphoma is rare, long-term survival after chemotherapy and rituximab is superior to other cardiac malignancies.
原发性心脏肿瘤患者可能会根据肿瘤的大小和位置出现症状。症状可能包括因心内梗阻继发的充血性心力衰竭、全身性栓塞、心律失常和全身症状。一名患者出现新发房颤和心力衰竭。包括开放手术在内的检查发现了原发性心脏淋巴瘤。心脏肿瘤会出现多种症状，最好通过超声心动图、计算机断层血管造影和磁共振成像进行评估。组织诊断是必要的。虽然原发性心脏淋巴瘤很少见，但化疗和利妥昔单抗治疗后的长期生存率优于其他心脏恶性肿瘤。
