Publication Date
11-1-2022
Journal
The Texas Heart Journal
DOI
10.14503/THIJ-21-7575
PMID
36472919
Publication Date(s)
November-December, 2022
Language
English
PMCID
PMC9809082
PubMedCentral® Posted Date
12-6-2022
PubMedCentral® Full Text Version
Post-print
Published Open-Access
yes
Keywords
Humans, Aged, Burkitt Lymphoma, Heart Failure, Cardiac tumor, Burkitt lymphoma, neoplasms, heart failure, multimodality imaging, echocardiography, computed tomography, magnetic resonance imaging
Copyright
This work is licensed under a Creative Commons Attribution-NonCommercial-No Derivative Works 4.0 International License.
Abstract
Primary cardiac tumors are rare, as the most common cause of cardiac masses is from metastatic disease. In this article, a unique case of isolated cardiac Burkitt lymphoma causing right-sided heart failure in a 70-year-old man who presented to the emergency department with abdominal distension and lower-extremity swelling is described. The right ventricular mass was initially identified via computed tomographic scans of the abdomen and pelvis. Further workup included transthoracic echocardiogram and cardiac magnetic resonance imaging that showed extension of the mass into the right atrium and pericardium. Staging imaging and bone marrow biopsy revealed no evidence of metastatic disease. Cytology of the peritoneal fluid and biopsy of the right ventricular mass confirmed Burkitt lymphoma. The cardiac mass substantially decreased in size and the right-sided heart failure resolved after the initiation of chemotherapy, which highlights the importance of prompt diagnosis and treatment of Burkitt lymphoma.
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