Right Atrium Primary Cardiac Lymphoma Causing Heart Failure

Abstract

Background Patients with primary cardiac tumors may present with symptoms based on the size and location of the tumor. Symptoms may include CHF secondary to intracardiac obstruction, systemic embolization, arrhythmias, and constitutional symptoms. Case Description A patient presented with new onset atrial fibrillation and heart failure. Work-up including open surgery revealed a primary cardiac lymphoma. Conclusion Cardiac tumors present with a variety of symptoms and are best evaluated by echo, CTA and MRI. Tissue diagnosis is necessary. Although PCL is rare, long-term survival after chemotherapy and rituximab is superior to other cardiac malignancies.