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European Journal of Echocardiography Advance Access published online on September 15, 2009
European Journal of Echocardiography, doi:10.1093/ejechocard/jep111
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2009. For permissions please email: journals.permissions@oxfordjournals.org

Diffuse involvement of the heart and great vessels in primary cardiac lymphoma

Aysel Aydin Kaderli1,*, Ibrahim Baran1, Ozlem Aydin1, Murat Bicer2, Tayyar Akpinar3, Fahir Ozkalemkas4, Dilek Yesilbursa1 and Sumeyye Gullulu1

1 Department of Cardiology, Uludag University Faculty of Medicine, 16059 Gorukle, Bursa, Turkey
2 Department of Cardiovascular Surgery, Uludag University School of Medicine, Bursa, Turkey
3 Department of Nuclear Medicine, Uludag University School of Medicine, Bursa, Turkey
4 Department of Hematology, Uludag University School of Medicine, Bursa, Turkey

Received 24 April 2009; accepted after revision 20 August 2009.

* Corresponding author. Tel: +90 2242951663; fax: +90 2242951626. E-mail address: ayselkaderli{at}yahoo.com, aakaderli{at}uludag.edu.tr


  Abstract

Primary cardiac lymphoma (PCL) is an extremely rare disorder. In this report, a 57-year-old male with diffuse large B-cell lymphoma involving the heart and great vessels is presented. Trans-thoracic echocardiography was the first modality used to establish the diagnosis. Fluorine-18-fluorodeoxyglucose positron emission tomography/computed tomography (FDG PET/CT) showed diffuse increased metabolic activity of the heart walls and hypermetabolic lesions occupying cardiac chambers in some areas. The patient underwent systemic chemotherapy, and after 13 days, a marked regression of the tumour mass was evident based on echocardiographic examination. After completing six R-CHOP chemotherapy treatments, PET imaging was planned to control the residual mass, but the patient was intubated due to pneumonia that developed after the sixth chemotherapy session and subsequently died due to sepsis.

Keywords: Primary cardiac lymphoma; Echocardiography; Positron emission tomography; Heart block


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