Cor Vasa 2022, 64(6):661-664 | DOI: 10.33678/cor.2022.010

(A rare cause of heart failure)

Zuzana Komorová^a, Jan Krejčí^a, Eva Ozábalová^a, Roman Panovský^{a, d}, Věra Feitová^{b, d}, Michaela Rýznarová^c, Michal Hendrych^c, Ladislav Groch^a, Lenka Špinarová^a

^a Interní kardioangiologická klinika, Lékařská fakulta Masarykovy univerzity a Fakultní nemocnice u sv. Anny v Brně, Brno

^b Klinika zobrazovacích metod, Fakultní nemocnice u sv. Anny v Brně, Brno

^c I. patologicko-anatomický ústav, Lékařská fakulta Masarykovy univerzity a Fakultní nemocnice u sv. Anny v Brně, Brno

^d Mezinárodní centrum klinického výzkumu, Fakultní nemocnice u sv. Anny v Brně, Brno

Infiltration of the heart in generalized lymphoma can lead to impaired cardiac function. Usually this manifests as heart failure, arrhythmias or systemic embolism. The case report describes a 64-year-old woman who presented with progressive shortness of breath and lower extremities edema. Extensive diagnostic workup including cardiac magnetic resonance imaging and CT scan revealed a well-defined, right-sided cardiac mass and generalized lymphadenopathy. The dimensions of the lesion were 90 × 80-90 × 90 mm and the tumor expanded predominantly into the right atrial septum and the mouth of the upper vena cava. In addition, the outflow tracts of both chambers were also affected. Despite prompt and rigorous treatment, the patient died four days following admission due to sudden cardiac arrest. Post-mortem histological assessment verified a non-Hodgkin's diffuse B-cell lymphoma.

Keywords: Cardiac tumors, Heart failure, Lymphoma

Received: February 10, 2022; Revised: February 10, 2022; Accepted: February 17, 2022; Published: December 15, 2022  Show citation