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

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.

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