KMID : 0368120120420110776
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Korean Circulation Journal 2012 Volume.42 No. 11 p.776 ~ p.780
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A Case of Primary Cardiac Lymphoma Mimicking Acute Coronary and Aortic Syndrome
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Cho Sung-Woo
Kim Byung-Kyu Hwang Jin-Tae Kim Jeong-Hoon Kim Byung-Ok Goh Choong-Won Rhee Kun-Joo Ahn Hyo-Seung Kim Hyun-Jung Byun Young-Sup
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Abstract
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Primary cardiac lymphoma (PCL) is a rare disorder, but the incidence is increasing and its clinical manifestations are various. We report a case of PCL, which mimics an acute coronary and aortic syndrome. A 51 year-old female was presented with chest pain radiating to the back. Her initial electrocardiogram revealed T wave inversion in the leads of V 5-6, II, III and aVF. Additionally, cardiac troponin-T was slightly elevated. Chest radiography showed marked mediastinal widening. Computed tomography scan showed a huge pericardial mass. The histopathologic findings of the mass were compatible with diffuse large B cell lymphoma. She died of refractory ventricular tachycardia, probably, due to an extensive infiltration of PCL to the myocardium.
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KEYWORD
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Cardiac tumor, Chest pain, Acute coronary syndrome
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