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KMID : 0364020080410030369
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Korean Journal of Thoracic and Cardiovascular Surgery
2008 Volume.41 No. 3 p.369 ~ p.372
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Primary Malignant Cardiac Lymphoma in Right Atrium -A case report-
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Choi Won-Suk
Han Il-Yong
Jun Hee-Jae
Lee Yang-Haeng
Hwang Youn-Ho
Cho Kwang-Hyun
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Abstract
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A primary malignant lymphoma that originates in the heart is extremely rare. A 68-year-old male patient was admitted due to aggravated dyspnea. After echocardiography and chest computed tomography evaluation, a huge mass in the right atrium and the right ventricle was detected. We decided to perform emergency surgery due to a high risk of infarction and hemodynamic disturbance. After the near total removal of the huge mass in the right cardiac chamber, the interatrial septum and antero-lateral part of the right atrium were reconstructed by the use of a bovine pericardial patch. The final pathological diagnosis was a primary malignant lymphoma. The patient and his guardians refused chemotherapy (including radiotherapy), and the patient was discharged to his home, where the prognosis was hopeless.
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KEYWORD
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Heart neoplasms, Lymphoma
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