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Primary Lymphoma Presenting in an Ascending Aortic Aneurysm: A Case Report
Alexander M Schurman1, David Mendoza2, Chris K Rokkas1
1Division of Cardiothoracic Surgery, Department of Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin.
Aorta (Stamford, Conn.)
|August 1, 2020
Summary
This case report details a rare association between ascending aortic aneurysm and small lymphocytic lymphoma (SLL). The diagnosis was confirmed after surgical repair, highlighting an unusual presentation of SLL.
Area of Science:
- Cardiovascular Medicine
- Hematology
- Oncology
Background:
- Small lymphocytic lymphoma (SLL) is a low-grade B-cell lymphoma.
- Thoracic aortic aneurysms are vascular abnormalities that can be life-threatening.
- The co-occurrence of SLL and thoracic aortic aneurysms is exceptionally rare.
Purpose of the Study:
- To report a unique case of ascending aortic aneurysm associated with SLL.
- To highlight the importance of histopathological examination in diagnosing rare conditions.
- To discuss the implications for patient management.
Main Methods:
- Case presentation of an asymptomatic 68-year-old woman with an ascending aortic aneurysm.
- Surgical excision and repair of the aneurysm.
- Histopathological analysis of the surgical specimen.
Main Results:
- A 5.5-cm aneurysm of the ascending aorta was identified.
- Surgical specimen revealed lymphocyte infiltration consistent with SLL.
- The patient had no prior history of hematological disorders.
Conclusions:
- This is the first reported case of an ascending aortic aneurysm associated with SLL.
- The findings suggest a potential, albeit rare, link between SLL and aortic pathology.
- Further research may be needed to understand this association and guide clinical practice.
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