Key result
Surgical resection successfully resolves refractory right atrial infective endocarditis mass in pediatric leukemia.
Why the study?
Cardiac manifestations in acute lymphoblastic leukemia are rare but clinically important, requiring comprehensive evaluation when cardiac masses are present.
Case Report (n=1)
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Acute lymphoblastic leukemia (ALL) is a systemic disease that is presented with different symptoms and signs. Cardiac manifestation is rare in ALL, but it is very important and needs appropriate management. It usually presents as leukemic myocardial infiltration and in the presence of cardiac mass comprehensive evaluation for other etiologies is mandatory. We reported on a 6-year-old boy in remission phase of ALL and large cardiac mass in the right atrium with obscure early symptoms and signs, in whom infective endocarditis (IE) was diagnosed and appropriate medical treatment was performed. Because the mass was sustained, surgical resection was considered for the patient.
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Tabaei et al. (2017) conducted a case report in Acute lymphoblastic leukemia and infective endocarditis (n=1). Surgical mass resection and antimicrobial therapy was evaluated on Resolution of cardiac mass and symptoms. Surgical resection successfully treated a large right atrial mass caused by infective endocarditis in a 6-year-old boy with acute lymphoblastic leukemia after medical therapy failed.
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