2016
DOI: 10.1016/j.athoracsur.2015.08.091
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Primary Cardiac T-Cell Lymphoma Localized in the Mitral Valve

Abstract: Primary cardiac lymphoma is a rare cardiac tumor, and usually originates from B cells and involves the right side of the heart. We present an extremely rare case of primary cardiac T-cell lymphoma involving the mitral valve alone. A 58-year-old woman who was positive for human T-cell leukemia virus 1 underwent mitral valve replacement because of severe mitral regurgitation. The postoperative pathologic diagnosis of the mitral valve was T-cell lymphoma. Further evaluation revealed no malignancy, except for the … Show more

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Cited by 5 publications
(6 citation statements)
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“…A malignant lymphoma usually involves the heart as focal masses and diffuse pattern as in this case are uncommon [5]. In a few papers, right atrium was listed as the most common site for cardiac involvement [5,6] but the reason is unknown and it might be due to lymph drainage path through thoracic duct into superior vena cava and subsequently into right atrium [6]. Sometimes tumor spreads from myocardium to the adjacent region, encasing aorta, coronary arteries, and pulmonary artery causing a compression effect on these structures [7].…”
Section: Discussionmentioning
confidence: 92%
“…A malignant lymphoma usually involves the heart as focal masses and diffuse pattern as in this case are uncommon [5]. In a few papers, right atrium was listed as the most common site for cardiac involvement [5,6] but the reason is unknown and it might be due to lymph drainage path through thoracic duct into superior vena cava and subsequently into right atrium [6]. Sometimes tumor spreads from myocardium to the adjacent region, encasing aorta, coronary arteries, and pulmonary artery causing a compression effect on these structures [7].…”
Section: Discussionmentioning
confidence: 92%
“…These tumors generally involve the right heart and the right atrium is the cardiac chamber most affected by primary cardiac lymphoma [ 3 ] . Lymphoma may appear isolated in the mitral valve [ 23 ] . In our cases, one of them arose from the right atrium and ventricle, and the other originated from the superior vena cava.…”
Section: Discussionmentioning
confidence: 99%
“…There are rare reports of primary cardiac T-cell lymphoma since 1949 and even more rare reports in an immunocompetent patient. 6 , 14 , 15 In 1 case a 70-year-old woman presented with cardiac tamponade with a 500 mL pericardial effusion and subsequently developed complete AV block and torsades de pointes. There was recovery of conduction with CHOP chemotherapy.…”
Section: Discussionmentioning
confidence: 99%