Publication Date
6-1-2020
Journal
The Texas Heart Institute Journal
DOI
10.14503/THIJ-17-6448
PMID
32997778
Publication Date(s)
June 2020
Language
English
PMCID
PMC7529070
PubMedCentral® Posted Date
9-30-2020
PubMedCentral® Full Text Version
Post-Print
Published Open-Access
yes
Keywords
Burkitt Lymphoma, Echocardiography, Heart Atria, Heart Neoplasms, Humans, Male, Middle Aged, Tomography, X-Ray Computed
Copyright
This work is licensed under a Creative Commons Attribution-NonCommercial-No Derivative Works 4.0 International License.
Abstract
Malignant metastases are among the most common cardiac masses. We report a rare case of cardiac involvement by Burkitt lymphoma in a 49-year-old man who presented with a 2-month history of dyspnea and palpitations. A transthoracic echocardiogram revealed 2 intracardiac masses in the right atrium (one of which partially encased the tricuspid valve), myocardial infiltration, and pericardial disease. Results of pleural fluid cytology and flow cytometry confirmed involvement by Burkitt lymphoma. Subsequent chemotherapy markedly reduced the intracardiac tumor burden and resolved the patient's presenting symptoms. Our case highlights the importance of cardiac imaging in diagnosing systemic illness, initiating early and appropriate treatment, and monitoring disease progression in patients with intracardiac Burkitt lymphoma.