Futela Pragyat, Shabtaie Samuel A, Woelber Tiffany J, Poddar Aastha, Deshmukh Abhishek J, Kowlgi Gurukripa N
Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota, USA.
JACC Case Rep. 2024 Aug 7;29(15):102416. doi: 10.1016/j.jaccas.2024.102416.
A 50-year-old woman presented with complete heart block on electrocardiogram. Echocardiogram revealed an intracardiac mass with extensive cardiac involvement. The patient was diagnosed with mantle cell lymphoma, confirmed via lymph node biopsy. Pacemaker implantation and chemotherapy were initiated, with subsequent improvement noted. This showcases an unusual manifestation of intracardiac metastasis with conduction system infiltration.
一名50岁女性心电图显示完全性心脏传导阻滞。超声心动图显示心内有肿物,心脏广泛受累。患者经淋巴结活检确诊为套细胞淋巴瘤。已开始进行起搏器植入和化疗,随后病情有所改善。这展示了心脏转移伴传导系统浸润的一种不寻常表现。