Key result
In a 70-year-old man with isolated cardiac Burkitt lymphoma, chemotherapy led to a substantial decrease in cardiac mass size and resolution of right-sided heart failure symptoms.
Why the study?
Primary cardiac tumors are rare, as cardiac masses most commonly result from metastatic disease.
Case Report (n=1)
Primary cardiac Burkitt lymphoma is a rare cause of right-sided heart failure that can respond rapidly to chemotherapy, though overall prognosis remains poor.
Isolated cardiac Burkitt lymphoma warrants consideration in right heart failure with ventricular mass; extends sparse reports of primary cardiac tumors but leaves management unresolved.
Primary cardiac tumors are rare, as the most common cause of cardiac masses is from metastatic disease. In this article, a unique case of isolated cardiac Burkitt lymphoma causing right-sided heart failure in a 70-year-old man who presented to the emergency department with abdominal distension and lower-extremity swelling is described. The right ventricular mass was initially identified via computed tomographic scans of the abdomen and pelvis. Further workup included transthoracic echocardiogram and cardiac magnetic resonance imaging that showed extension of the mass into the right atrium and pericardium. Staging imaging and bone marrow biopsy revealed no evidence of metastatic disease. Cytology of the peritoneal fluid and biopsy of the right ventricular mass confirmed Burkitt lymphoma. The cardiac mass substantially decreased in size and the right-sided heart failure resolved after the initiation of chemotherapy, which highlights the importance of prompt diagnosis and treatment of Burkitt lymphoma.
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Rector et al. (2022) conducted a case report in Isolated Cardiac Burkitt Lymphoma (n=1). Chemotherapy was evaluated on Tumor size reduction and symptom resolution. In a 70-year-old man with isolated cardiac Burkitt lymphoma, chemotherapy led to a substantial decrease in cardiac mass size and resolution of right-sided heart failure symptoms.
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