Related Experiment Video
Updated: Apr 30, 2026

Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation
Published on: February 26, 2013
[Fever, atrial fibrillation, and angina pectoris in a 58-year-old man]
M Groebner1, T Südhoff, M Doering
1Klinik für Kardiologie und Pulmonologie, Klinikum Passau, Innstr. 76, 94032, Passau, Deutschland, michael.groebner@klinikum-passau.de.
Abstract:
Primary cardiac lymphoma (PCL) respresents a very rare type of cardiac tumour. This report illustrates a case of PCL in an immunocompetent 58-year-old man presenting with atrial fibrillation and febrile syndrome. Comprehensive imaging [computer tomography (CT), cardiac magnetic resonance imaging (cMRI), 3-dimensional transesophageal echocardiography (3D-TEE)] identified a large right atrial tumour, leading to pericardial effusion. Isolated cardiac involvement was confirmed by positron emission tomography (PET)-CT. A diffuse large B-cell lymphoma (DLBCL) was diagnosed based on the results of a TEE-guided biopsy. A normalized PET scan (PETAL study) indicated complete remission following R-CHOP 14 immunochemotherapy. Thus, an interdisciplinary and multimodal approach avoided unnecessary cardiac surgery.
Related Concept Videos
Acute Coronary Syndrome II: Pathophysiology and Clinical Manifestations
ECG Interpretation of Arrhythmias II: Atrial, Junctional and Ventricular Arrhythmias
Angina IV: Management
Coronary Artery Disease III: Clinical Manifestations
Disturbances in Heart Rhythm
Arrhythmias are categorized by their speed, rhythm, and origin. A slow heart...
Angina III: Clinical Manifestations and Assessment

