Multimodality Imaging in the Assessment of Cardiac Lymphoma Presented as New‐Onset Atrial Fibrillation

Abstract

Cardiac involvement by non-Hodgkin's lymphoma is not uncommon, however rarely diagnosed during life due to nonspecific clinical presentation. We report a case of secondary cardiac lymphoma in patient who presented with new-onset atrial fibrillation. Cardiac lymphoma was in a form of bulky right atrial mass, infiltrating the atrial septum and cavo-atrial junction with concomitant mild pericardial effusion. In the present case, we illustrate complementary role of transthoracic, transesophageal echocardiography and multislice CT scan with three-dimensional reconstruction, in detection and evaluation of secondary cardiac tumor. Usefulness of echocardiography to follow up the effects of chemotherapy is also shown.

Real Time Three‐Dimensional Echocardiography Evaluation of Intracardiac Masses

“…In a case reported by Trifunovic, the use of RT3DTTE was useful in documenting shrinkage of the primary right atrial non-Hodgkin's lymphoma during treatment that presented in a patient with new onset atrial fibrillation. 31 Lymphomas are rare, accounting for only 5% of primary cardiac malignancies.…”

Primary Cardiac Lymphoma: Echocardiography and F‐18‐Fluorodeoxyglucose Positron Emission Tomography in Selection of a Biopsy Site

“…In the multimodal approach to cardiac masses, echocardiography is useful for initial screening and obtaining further, detailed anatomic data . FDG‐PET is useful for tissue characterization and acquiring data concerning extracardiac metastases.…”

“…3,4 In the multimodal approach to cardiac masses, echocardiography is useful for initial screening and obtaining further, detailed anatomic data. 5 FDG-PET is useful for tissue characterization and acquiring data concerning extracardiac metastases. Here, we demonstrate that, together, these 2 methods can also play an important role in the selection of an appropriate biopsy site.…”

Multimodality Imaging in the Evaluation of Cardiovascular Manifestations of Malignancy

“…Contrast echocardiography is also used for assessment of intracardiac masses [26]. However, for complex tumors and large or infiltrating tumors, the combination of echocardiography with either MRI or MDCT provides better definition and more precise preoperative planning [27]. …”