Complete heart block as a complicating feature of a mediastinal lymphoma
| Autor: | Vanda Cristina Jorge, Vera Bernardino, Ana Carolina Araújo, Carla Noronha, Nuno Riso, Sara Gomes, Manuel Vaz Riscado |
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| Jazyk: | angličtina |
| Rok vydání: | 2012 |
| Předmět: |
medicine.medical_specialty
Pacemaker Artificial Heart block Cardiac Neoplasm Biopsy Hilum (biology) Inferior vena cava Mediastinal Neoplasms Article Diagnosis Differential Mediastinal Lymphoma medicine Humans Aged business.industry General Medicine medicine.disease Mediastinal Neoplasm Surgery Heart Block medicine.vein cardiovascular system Female Radiology Lymphoma Large B-Cell Diffuse business Tomography X-Ray Computed Atrioventricular block Diffuse large B-cell lymphoma |
| Popis: | Malignant lymphomas represent about 9% of cardiac neoplasms. Despite its life-threatening nature, the cardiac manifestations are often subclinical. In about 20% of deaths from lymphoma, cardiac involvement is found only in autopsy. The authors present the case of a 77-year-old female admitted due to intense back pain, vomiting, generalised pruritus, fatigue and weight loss. She had a personal history of hypertension and breast cancer was noted 10 years before admission. The thoracoabdominopelvic CT showed a mass in the left atrium with extension to the right atrium and inferior vena cava, and a paravertebral mass at D10-D11 with invasion of the spinal canal and hepatic hilum. The transthoracic paravertebral mass biopsy was compatible with a diffuse large B cell lymphoma. The patient developed a complete atrioventricular block, with haemodynamic instability, requiring urgent chemoreduction of the paracardiac mass and implantation of an epicardial pacemaker. |
| Databáze: | OpenAIRE |
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