Primary Cardiac B-Non-Hodgkin Lymphoma Disguised as a Pacemaker Endocarditis.

Thorac Cardiovasc Surg Rep

Department of Cardiac, Thoracic, Transplantation and Vascular Surgery, Hannover Medical School, Hannover, Germany.

Published: January 2018

AI Article Synopsis

  • - Pacemaker infections occur more frequently than primary malignant cardiac tumors, but their symptoms can be similar, complicating diagnosis.
  • - A unique case is presented where a suspected pacemaker endocarditis was ultimately diagnosed as primary cardiac B cell lymphoma, which was surgically removed.
  • - Inadequate pre-surgery diagnostics contributed to the initial misdiagnosis, but even with such tumors, surgical removal can result in a positive clinical outcome and improved long-term survival.

Article Abstract

 Pacemaker infections rates are high compared with the incidence of primary malignant cardiac tumors. However, they can look alike in diagnostics and patient presentation.  We hereby report a rare case of a suspected pacemaker endocarditis which in fact turned out to be a primary cardiac B cell lymphoma. The lymphoma was removed surgically.  Sometimes we encounter the unexpected. Suboptimal preoperative diagnostics certainly lead to the faulty conclusion of an endocarditis. Nonetheless, even such an enhanced primary cardiac tumor can be resected with good clinical outcome and long-term survival.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6023713PMC
http://dx.doi.org/10.1055/s-0038-1660807DOI Listing

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