Key result
Diagnostic thoracotomy with epicardial pacemaker insertion manages third-degree AV block from malignant non-Hodgkin's lymphoma.
Case Report (n=1)
Cardiac infiltration by non-Hodgkin's lymphoma is a rare cause of third-degree AV block that may require epicardial pacing.
May prompt lymphoma evaluation in unexplained AV block; hypothesis-generating and leaves optimal pacing strategies open.
A 59-year old female patient presented with progressive dyspnoea, intermittent fever and third-degree atrio-ventricular-block. On echocardiography she had nodular deposits on the lateral wall of the left and in the entire right atrium. A computed tomography scan demonstrated extensive retrocardial tumour masses infiltrating both atria and the interatrial septum. The patient underwent a diagnostic lateral thoracotomy with concomitant epicardial pacemaker insertion. Histological examination revealed a centroblastic B-cell-lymphoma. The management of this patient is discussed and the literature reviewed.
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Ivan Aleksić (1999) conducted a case report in Third-degree atrio-ventricular-block caused by malignant non-Hodgkin's lymphoma (n=1). Diagnostic lateral thoracotomy with concomitant epicardial pacemaker insertion was evaluated. Diagnostic lateral thoracotomy with epicardial pacemaker insertion was used to manage a 59-year-old female with third-degree AV block caused by malignant non-Hodgkin's lymphoma.
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