tailieunhanh - báo cáo khoa học: " Cardiac tamponade and paroxysmal third-degree atrioventricular block revealing a primary cardiac non-Hodgkin large B-cell lymphoma of the right ventricle: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Cardiac tamponade and paroxysmal third-degree atrioventricular block revealing a primary cardiac non-Hodgkin large B-cell lymphoma of the right ventricle: a case report | Frikha et al. Journal of Medical Case Reports 2011 5 433 http content 5 1 433 JOURNALOF medical Ur Case REPORTS CASE REPORT Open Access Cardiac tamponade and paroxysmal third-degree atrioventricular block revealing a primary cardiac non-Hodgkin large B-cell lymphoma of the right ventricle a case report 11 1 12 2 1 Zied Frikha Leila Abid Dorra Abid Souad Mallek Imed Frikha Mohamed Abdennadher Noomen Rekik and Samir Kammoun 1 Abstract Introduction Primary cardiac lymphoma is rare. Case Presentation We report the case of a 64-year-old non-immunodeficient Caucasian man with cardiac tamponade and paroxysmal third-degree atrioventricular block. Echocardiography revealed the presence of a large pericardial effusion with signs of tamponade and a right ventricular mass was suspected. Scanner investigations clarified the sites extension and anatomic details of myocardial and pericardial infiltration. Surgical resection was performed due to the rapid impairment of his cardiac function. Analysis of the pericardial fluid and histology confirmed the diagnosis of non-Hodgkin large B-cell lymphoma. He was treated with chemotherapy. Conclusion The prognosis remains poor for this type of tumor due to delays in diagnosis and the importance of the site of disease. Introduction Primary cardiac tumors are rare. Cardiac lymphoma is the rarest primary cardiac tumor and it is usually fatal. The prognosis is poor because of diagnostic delay and the importance of the site of disease. It often begins with a pericardial effusion. Its treatment is based on chemotherapy. Case presentation A 64-year-old immunocompetent Caucasian man with no history of cardiac disease presented with chest pain dyspnea and edema of his lower limbs associated with a degeneration of his general state. On physical examination he had a temperature of 37 C blood pressure of 100 74 mmHg and heart rate of 30 bpm. His jugular venous pressure was high. The first and second heart sounds were .