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A Case of Primary Cardiac Lymphoma Mimicking Acute Coronary and Aortic Syndrome

  • Cho, Sung Woo (Graduate School of Medical Science and Engineering, Korea Advanced Institute of Science and Technology (KAIST)) ;
  • Kim, Byung Kyu (Division of Cardiology, Department of Internal Medicine, Sanggye Paik Hospital, Inje University College of Medicine) ;
  • Hwang, Jin Tae (Division of Cardiology, Department of Internal Medicine, Sanggye Paik Hospital, Inje University College of Medicine) ;
  • Kim, Jeong Hoon (Division of Cardiology, Department of Internal Medicine, Sanggye Paik Hospital, Inje University College of Medicine) ;
  • Kim, Byung Ok (Division of Cardiology, Department of Internal Medicine, Sanggye Paik Hospital, Inje University College of Medicine) ;
  • Goh, Choong Won (Division of Cardiology, Department of Internal Medicine, Sanggye Paik Hospital, Inje University College of Medicine) ;
  • Rhee, Kun Joo (Division of Cardiology, Department of Internal Medicine, Sanggye Paik Hospital, Inje University College of Medicine) ;
  • Ahn, Hyo Seung (Division of Cardiology, Department of Internal Medicine, Sanggye Paik Hospital, Inje University College of Medicine) ;
  • Kim, Hyun Jung (Division of Cardiology, Department of Pathology, Sanggye Paik Hospital, Inje University College of Medicine) ;
  • Byun, Young Sup (Division of Cardiology, Department of Internal Medicine, Sanggye Paik Hospital, Inje University College of Medicine)
  • 발행 : 2012.11.30

초록

Primary cardiac lymphoma (PCL) is a rare disorder, but the incidence is increasing and its clinical manifestations are various. We report a case of PCL, which mimics an acute coronary and aortic syndrome. A 51 year-old female was presented with chest pain radiating to the back. Her initial electrocardiogram revealed T wave inversion in the leads of V 5-6, II, III and aVF. Additionally, cardiac troponin-T was slightly elevated. Chest radiography showed marked mediastinal widening. Computed tomography scan showed a huge pericardial mass. The histopathologic findings of the mass were compatible with diffuse large B cell lymphoma. She died of refractory ventricular tachycardia, probably, due to an extensive infiltration of PCL to the myocardium.

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참고문헌

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피인용 문헌

  1. Primary Cardiac T Cell Lymphoma Mimicking ST-Elevation Myocardial Infarction vol.138, pp.4, 2012, https://doi.org/10.1159/000479676