Involvement of the heart and pericardium in the malignant lymphomas

Petersen, Christine Dickey; Robinson, William A.; Kurnick, John E.

doi:10.1097/00000441-197609000-00005

Cited by 81 publications

(37 citation statements)

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“…The classic constitutional (B) symptoms of lymphoma (fever, night sweats and weight loss) are present in approximately 50% of cardiac lymphoma cases and may be the only presentation [53].…”

Section: Malignant Lymphomasmentioning

confidence: 99%

Human immunodeficiency virus (HIV) related heart disease: A review

Sani

Okeahialam

Aliyu

et al. 2005

Wien Klin Wochenschr

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Recent advances in the knowledge of human immunodeficiency virus (HIV) replication and transmission as well as the emergence of effective antiretroviral therapies are leading to longer survival times for HIV-infected individuals. As a result, organ related manifestations of late stage HIV infection, including HIV-related heart diseases have emerged. It is now clear that cardiac involvement in HIV seropositive patients is relatively common and is associated with increased morbidity and mortality. Cardiac involvement in HIV infection is multifactorial. The epidemiology has changed dramatically since the introduction of highly active antiretroviral therapy (HAART), but studies carried out before the introduction of HAART remain relevant because of limited access to this treatment in many areas of the world. A variety of cardiac lesions have been reported in HIV infection and AIDS, including pericardial disease with effusion and tamponade, nonspecific or infectious myocarditis, dilated cardiomyopathy with global left ventricular dysfunction, endocardial valvular disease due to marantic or infective endocarditis, arrhythmias, pulmonary hypertension and neoplastic invasion. In the post HAART-era, coronary artery disease and dyslipidaemia, drug related cardiotoxicity and cardiac autonomic dysfunction are becoming increasingly prevalent. In this review, we highlight the importance of cardiac complications in HIV disease and discuss measures that can be taken to improve survival.

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“…The classic constitutional (B) symptoms of lymphoma (fever, night sweats and weight loss) are present in approximately 50% of cardiac lymphoma cases and may be the only presentation [53].…”

Section: Malignant Lymphomasmentioning

confidence: 99%

Human immunodeficiency virus (HIV) related heart disease: A review

Sani

Okeahialam

Aliyu

et al. 2005

Wien Klin Wochenschr

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“…Some authors (4,5) attributed this discrepancy between the clinical and pathological diagnosis mainly to the difficulty of detecting cardiac lesions before death in patients without any signs or symptoms of cardiac involvement. Here we report an additional example of non-Hodgkin's malignant lymphoma with cardiac involvement, because this particular complication is still rare in everyday practice, even in hematology departments.…”

Section: Introductionmentioning

confidence: 99%

Non-Hodgkin's Malignant Lymphoma of the Bone with Intracavitary Cardiac Involvement.

Satô

Takahashi

1993

Intern. Med.

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An 84-year-old man with non-Hodgkin's malignant lymphomapresented with a pathological fracture of the femur and also an intra-atrial mass on echocardiography. The patient was given palliative low-dose chemotherapy, but died of tumor dissemination, hypercalcemia, and dehydration. Autopsy revealed diffuse large B-cell lymphoma involving multiple bones and lymph nodes (the latter were not detected during staging), and a solitary mass on the posterior wall of the right atrium. This rare lesion appeared to be due to hematogenousspread, since the myocardiumand pericardium were free of tumor infiltration. A literature review indicated that the frequency of cardiac involvement differed between contemporary and earlier reports, mainly due to the availability of increasingly sophisticated diagnostic methods and improvements in chemotherapy. (Internal Medicine 32: 502-507, 1993)

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“…3 Moreover, pericardial lesions readily cause cardiac tamponade manifested by hypotension. 4,5 Severe right cardiac failure developed first in our patient because the tumor mass occupied almost the entire space of the right atrial cavity and invaded its wall. Irradiation and chemotherapy are generally considered effective against malignant lymphoma; however, we decided to perform an emergency operation first due to the moribund condition of the patient.…”

Section: Discussionmentioning

confidence: 73%

Involvement of the Right Atrium by Malignant Lymphoma as a Cause of Right Cardiac Failure: Report of a Case

et al. 2000

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We describe herein a rare case of malignant lymphoma occupying almost the entire space of the right atrial cavity and causing low cardiac output syndrome. A life-saving emergency operation was carried out after the establishment of a temporary bypass between the axillary and femoral veins to prevent exacerbation of the patient's condition during the induction of anesthesia. Cardiopulmonary bypass was commenced and the right atrium was opened. A large tumor in the right atrium could not be completely removed due to invasion of the atrial wall. A bypass from the left innominate vein to the pulmonary arterial trunk was constructed with a prosthetic graft to convert the blood flow directly from the systemic vein to the pulmonary artery. Postoperative radiation treatment was given, which resulted in reducing the size of the tumor considerably, and the patient is doing well 1 year after his operation.

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Involvement of the heart and pericardium in the malignant lymphomas

Cited by 81 publications

References 0 publications

Human immunodeficiency virus (HIV) related heart disease: A review

Human immunodeficiency virus (HIV) related heart disease: A review

Non-Hodgkin's Malignant Lymphoma of the Bone with Intracavitary Cardiac Involvement.

Involvement of the Right Atrium by Malignant Lymphoma as a Cause of Right Cardiac Failure: Report of a Case

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