Primary bi-atrial Burkitt lymphoma with severe inflow impairment in an immunocompetent patient

Primary Cardiac Lymphoma Arising from Both Sides of the Heart

Primary cardiac lymphomas (PCLs) are extremely rare tumors with a poor prognosis. They usually involve the pericardium and the right side of the heart. PCLs arising from the left side of the heart are relatively rare, with bilateral cases being even rarer. We herein report a case of PCL arising from both the right and left sides of the heart in a 65-year-old man. Multiple imaging modalities clearly demonstrated the tumors at the initial evaluation. The pathological diagnosis was diffuse large B-cell lymphoma.

Burkitt Lymphoma Presenting as an Intracardiac Mass: Case Report and Review of Literature

Patient: Male, 27

Final Diagnosis: Burkitt lymphoma with intracardiac mass

Symptoms: Dizziness • fatigue • palpitations • weight loss

Medication: —

Clinical Procedure: Catheter-directed thrombolytic therapy with intracardiac infusion of alteplase

Specialty: Hematology

Primary Cardiac Lymphoma in an Immunocompetent 71-Year-Old Man

Isolated cardiac lymphomas are very rare, especially in immunocompetent patients. As a consequence, little is known about the best therapeutic management and about patients' outcomes in these cases. Diffuse large B-cell lymphoma is the most frequent subtype; anthracycline-based chemotherapy has been the most successful treatment. We describe the case of a primary cardiac lymphoma in an immunocompetent 71-year-old man. As of December 2015, the patient had been in clinical remission for 2 years. The most relevant literature on primary cardiac lymphoma is reported and discussed.