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Secondary Cardiac Lymphoma Presenting as Sick Sinus Syndrome and Atrial Fibrillation Which Required Leadless Pacemaker Implantation
Cardiac involvement of malignant lymphoma is relatively common, although such a phenomenon has subclinical manifestations that are difficult to detect. We herein describe a patient with atrial fibrillation and sick sinus syndrome as the main symptoms. Computed tomography showed a mass in the right a...
Autores principales: | , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Japanese Society of Internal Medicine
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7925272/ https://www.ncbi.nlm.nih.gov/pubmed/32963160 http://dx.doi.org/10.2169/internalmedicine.5573-20 |
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author | Kondo, Shun Osanai, Hiroyuki Sakamoto, Yusuke Uno, Hiroto Tagahara, Kensuke Hosono, Hirotaka Miyamoto, Shun Hiramatsu, Shotaro Matsumoto, Hikari Sakaguchi, Teruhiro Kanbara, Takahiro Nakashima, Yoshihito Asano, Hiroshi Ajioka, Masayoshi |
author_facet | Kondo, Shun Osanai, Hiroyuki Sakamoto, Yusuke Uno, Hiroto Tagahara, Kensuke Hosono, Hirotaka Miyamoto, Shun Hiramatsu, Shotaro Matsumoto, Hikari Sakaguchi, Teruhiro Kanbara, Takahiro Nakashima, Yoshihito Asano, Hiroshi Ajioka, Masayoshi |
author_sort | Kondo, Shun |
collection | PubMed |
description | Cardiac involvement of malignant lymphoma is relatively common, although such a phenomenon has subclinical manifestations that are difficult to detect. We herein describe a patient with atrial fibrillation and sick sinus syndrome as the main symptoms. Computed tomography showed a mass in the right atrium extending into the superior vena cava (SVC). We implanted the patient with a leadless pacemaker. Transvenous biopsy revealed a diffuse large B-cell lymphoma. The patient was treated successfully with chemotherapy including rituximab. This case suggested that cardiac lymphoma may cause sick sinus syndrome, and leadless pacemaker implantation is a safe treatment option in patients with partial SVC obstruction. |
format | Online Article Text |
id | pubmed-7925272 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | The Japanese Society of Internal Medicine |
record_format | MEDLINE/PubMed |
spelling | pubmed-79252722021-03-10 Secondary Cardiac Lymphoma Presenting as Sick Sinus Syndrome and Atrial Fibrillation Which Required Leadless Pacemaker Implantation Kondo, Shun Osanai, Hiroyuki Sakamoto, Yusuke Uno, Hiroto Tagahara, Kensuke Hosono, Hirotaka Miyamoto, Shun Hiramatsu, Shotaro Matsumoto, Hikari Sakaguchi, Teruhiro Kanbara, Takahiro Nakashima, Yoshihito Asano, Hiroshi Ajioka, Masayoshi Intern Med Case Report Cardiac involvement of malignant lymphoma is relatively common, although such a phenomenon has subclinical manifestations that are difficult to detect. We herein describe a patient with atrial fibrillation and sick sinus syndrome as the main symptoms. Computed tomography showed a mass in the right atrium extending into the superior vena cava (SVC). We implanted the patient with a leadless pacemaker. Transvenous biopsy revealed a diffuse large B-cell lymphoma. The patient was treated successfully with chemotherapy including rituximab. This case suggested that cardiac lymphoma may cause sick sinus syndrome, and leadless pacemaker implantation is a safe treatment option in patients with partial SVC obstruction. The Japanese Society of Internal Medicine 2020-09-19 2021-02-01 /pmc/articles/PMC7925272/ /pubmed/32963160 http://dx.doi.org/10.2169/internalmedicine.5573-20 Text en Copyright © 2021 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report Kondo, Shun Osanai, Hiroyuki Sakamoto, Yusuke Uno, Hiroto Tagahara, Kensuke Hosono, Hirotaka Miyamoto, Shun Hiramatsu, Shotaro Matsumoto, Hikari Sakaguchi, Teruhiro Kanbara, Takahiro Nakashima, Yoshihito Asano, Hiroshi Ajioka, Masayoshi Secondary Cardiac Lymphoma Presenting as Sick Sinus Syndrome and Atrial Fibrillation Which Required Leadless Pacemaker Implantation |
title | Secondary Cardiac Lymphoma Presenting as Sick Sinus Syndrome and Atrial Fibrillation Which Required Leadless Pacemaker Implantation |
title_full | Secondary Cardiac Lymphoma Presenting as Sick Sinus Syndrome and Atrial Fibrillation Which Required Leadless Pacemaker Implantation |
title_fullStr | Secondary Cardiac Lymphoma Presenting as Sick Sinus Syndrome and Atrial Fibrillation Which Required Leadless Pacemaker Implantation |
title_full_unstemmed | Secondary Cardiac Lymphoma Presenting as Sick Sinus Syndrome and Atrial Fibrillation Which Required Leadless Pacemaker Implantation |
title_short | Secondary Cardiac Lymphoma Presenting as Sick Sinus Syndrome and Atrial Fibrillation Which Required Leadless Pacemaker Implantation |
title_sort | secondary cardiac lymphoma presenting as sick sinus syndrome and atrial fibrillation which required leadless pacemaker implantation |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7925272/ https://www.ncbi.nlm.nih.gov/pubmed/32963160 http://dx.doi.org/10.2169/internalmedicine.5573-20 |
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