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Successful resection and reconstruction of primary cardiac lymphoma
Barçın Özcem, Hatice Soner Kemal1, Özlem Balcıoğlu
1Department of Cardiology, Near East University Hospital, Nicosia, Cyprus. kemal.hatice@hotmail.com.
Insights
Primary cardiac lymphoma (PCL), a rare heart tumor, typically affects the right atrium. This case highlights successful surgical resection and reconstruction for a large right atrial mass, emphasizing early diagnosis and treatment for this potentially fatal condition.
Area of Science:
- Cardiology
- Oncology
- Pathology
Background:
- Primary cardiac lymphoma (PCL) is an exceptionally rare cardiac neoplasm.
- Diffuse large B-cell lymphoma is the most frequent histological subtype of PCL.
- PCL commonly involves the right atrium and right ventricle, posing a significant risk of fatality if untreated.
Observation:
- A female patient presented with an urgent clinical need for surgical intervention due to a large, infiltrative right atrial mass.
- Surgical management involved extensive resection of the lateral walls of both atria and the interatrial septum.
- Successful reconstruction of the affected cardiac structures was achieved.
Findings:
- Pathological evaluation confirmed the diagnosis of primary cardiac lymphoma (PCL).
- The case underscores the importance of timely diagnosis and intervention in managing PCL.
- Surgical resection and reconstruction proved to be a viable therapeutic approach.
Implications:
- This case report aims to increase awareness of primary cardiac lymphoma among clinicians.
- Highlighting successful surgical strategies for PCL can guide future treatment protocols.
- Early recognition and prompt management are crucial for improving outcomes in patients with cardiac tumors.
Abstract:
Primary cardiac lymphoma (PCL) is one of the rarest tumors of the heart. The most common type is diffuse, large B-cell lymphoma. Most often, the right atrium and the right ventricle are involved, and if not diagnosed and treated in time, it can be fatal. In this case, a female patient underwent an urgent operation for a large, infiltrative, right atrial mass. Extensive resection of the lateral walls of both atria and the interatrial septum as well as reconstruction were performed successfully. The pathological evaluation suggested PCL. The aim of this case is to raise awareness of this disease and to highlight clinical and surgical approaches.