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Published on: May 11, 2018
An unusual case of biventricular cardiac failure
P Schoeters1, H De Raedt, L Colemont
1Department of Intensive Care Medicine, Sint Vincentius General Hospital, Antwerp, Belgium.
Abstract:
We present a patient with acute retrosternal pain and dyspnoea. Clinical examination revealed a woman in shock with a loud holosystolic murmur and congested jugular veins. Echocardiography showed severe mitral insufficiency. At transoesophageal echocardiography a large mass was seen in the right atrium. The differential diagnosis was a thrombus or an intracardiac tumour. Subsequent histology revealed a non-Hodgkin lymphoma in the right atrium, the wall of the left atrium extending to the mitral valve and further location in the pelvis and duodenum. The discussion incorporates a brief overview of the literature.
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