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Cardiac Lymphoma Presenting with Recurrent STEMI

Munis Raza1, Sohail Ikram1, Nina Williams1

  • 1UNIVERSITY OF LOUISVILLE, LOUISVILLE, KENTUCKY.

Methodist Debakey Cardiovascular Journal
|July 17, 2020
PubMed

Insights

Metastatic cardiac lymphoma, though rare, can mimic heart attacks. This case highlights a fatal presentation of lymphoma infiltrating the heart, leading to myocardial infarction and ventricular rupture.

Area of Science:

  • Cardiology
  • Oncology
  • Pathology

Background:

  • Primary cardiac tumors are rare; secondary cardiac tumors are more common.
  • Cardiac involvement occurs in about 18% of non-Hodgkin's lymphoma cases at autopsy.
  • Clinical signs of cardiac lymphoma are often subtle and detected late.

Observation:

  • Clinical signs of cardiac lymphoma are often subtle and missed until late stages.
  • A rare case of metastatic cardiac lymphoma presented as ST-segment elevation myocardial infarction.

Findings:

  • The lymphoma caused transmural myocardial necrosis.
  • This led to left ventricular free wall rupture and cardiogenic shock.

Implications:

  • This case underscores the importance of considering metastatic cardiac lymphoma in patients with lymphoma and myocardial infarction symptoms.
  • Early recognition and diagnosis are crucial for managing this rare but severe condition.

Keywords:
ST-segment elevationcardiac lymphomacardiogenic shockcoronary artery diseaseleft ventricular free wall rupture

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