Ischemic Heart Disease Due to Compression of the Coronary Arteries by Malignant Lymphoma

被引：1
作者：
Nagasako, Yuki
Akaeda, Shun
Yanase, Fumitaka
Koyamada, Ryosuke
Mizuno, Atsushi
Higuchi, Takakazu
Okada, Sadamu
机构：
[1] Division of Hematology, St. Luke's International Hospital
[2] Division of Cardiology, St. Luke's International Hospital
来源：
INTERNAL MEDICINE | 2012年 / 51卷 / 20期
关键词：
malignant lymphoma; diffuse large B-cell lymphoma; cardiac magnetic resonance imaging; computed tomography angiography; ischemic heart disease; MYOCARDIAL-INFARCTION; CARDIAC-DISEASE;
D O I：
10.2169/internalmedicine.51.8176
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
A 76-year-old man presented with a two-month history of angina pectoris. Computed tomography (CT) revealed a serial enlargement of the supraclavicular and mediastinal lymph nodes compressing the heart, pulmonary artery and aorta. CT angiography (CTA) showed stenosis of the coronary arteries as a result of compression by the enlarged lymph nodes. First-pass contrast-enhanced cardiac magnetic resonance imaging (MRI) at rest revealed a perfusion defect, thus indicating myocardial ischemia. Diffuse large B-cell lymphoma was diagnosed and multidrug combination chemotherapy led to prompt improvement of the symptoms. Relief of the stenosis in the coronary arteries and improvements in myocardial perfusion were noted on follow-up CTA and MRI.
引用
收藏
页码：2949 / 2952
页数：4
相关论文
共 14 条
[1]   Myocardial infarction as an uncommon clinical manifestation of intravascular large cell lymphoma [J].
Bauer, A ;
Perras, B ;
Sufke, S ;
Horny, HP ;
Kreft, B .
ACTA CARDIOLOGICA, 2005, 60 (05) :551-555
[2]   Ischemic Cardiac Complications Following G-CSF [J].
Eckman, Peter M. ;
Bertog, Stefan C. ;
Wilson, Robert F. ;
Henry, Timothy D. .
CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS, 2010, 76 (01) :98-101
[3]   Clinically significant cardiac disease in patients with Hodgkin lymphoma treated with mediastinal irradiation [J].
Galper, Shira L. ;
Yu, James B. ;
Mauch, Peter M. ;
Strasser, Jon F. ;
Silver, Barbara ;
LaCasce, Ann ;
Marcus, Karen J. ;
Stevenson, Mary Ann ;
Chen, Ming Hui ;
Ng, Andrea K. .
BLOOD, 2011, 117 (02) :412-418
[4]  
Harris S, 1993, Clin Oncol (R Coll Radiol), V5, P189, DOI 10.1016/S0936-6555(05)80328-0
[5]   CHEMOTHERAPY-INDUCED MYOCARDIAL-INFARCTION IN A YOUNG MAN WITH HODGKINS-DISEASE [J].
HOUSE, KW ;
SIMON, SR ;
PUGH, RP .
CLINICAL CARDIOLOGY, 1992, 15 (02) :122-125
[6]  
LAM KY, 1993, ARCH PATHOL LAB MED, V117, P1027
[7]  
MCDONNELL PJ, 1982, CANCER-AM CANCER SOC, V49, P944, DOI 10.1002/1097-0142(19820301)49:5<944::AID-CNCR2820490519>3.0.CO
[8]  
2-C
[9]   A CASE OF MALIGNANT-LYMPHOMA SIMULATING ACUTE MYOCARDIAL-INFARCTION [J].
NISHIKAWA, Y ;
AKAISHI, M ;
HANDA, S ;
NAKAMURA, Y ;
HORI, S ;
OGATA, K ;
HOSODA, Y .
CARDIOLOGY, 1991, 78 (04) :357-362
[10]  
ODEA D, 1989, CANCER-AM CANCER SOC, V63, P958, DOI 10.1002/1097-0142(19890301)63:5<958::AID-CNCR2820630528>3.0.CO
12