Subject(s)
Anastomotic Leak/surgery , Bioprosthesis , Heart Valve Prosthesis Implantation/adverse effects , Septal Occluder Device/adverse effects , Aged , Anastomotic Leak/diagnostic imaging , Device Removal/methods , Follow-Up Studies , Heart Valve Prosthesis Implantation/methods , Humans , Male , Mitral Valve Insufficiency/diagnostic imaging , Mitral Valve Insufficiency/surgery , Multidetector Computed Tomography/methods , Prosthesis Failure , Reoperation/methods , Risk Assessment , Treatment Outcome , UltrasonographyABSTRACT
A left atrial mass associated with coronary artery disease is often diagnosed as a mural thrombus rather than other possible etiologies such as benign primary cardiac tumor (myxoma, lipoma), a malignant primary cardiac tumor (sarcoma, lymphoma), or secondary involvement for extracardiac tumors. Malignant lymphoma initially presenting as intracardiac masses is very rare. Chest computed tomography with contrast enhancement and cardiac magnetic resonance may be the best methods for distinguishing primary cardiac tumors from direct extension from adjacent mediastinal structures. We report the case of a 59-year-old man with incidentally found mediastinal diffuse large B-cell lymphoma invading the left atrium, which presented with coronary artery disease and a left atrial mass. Improvement in cardiac ventricular function heart after coronary artery bypass grafting may provide the patient with a better chance of receiving an adequate dose of chemotherapy.
Subject(s)
Coronary Disease/diagnosis , Heart Neoplasms/diagnosis , Heart Neoplasms/pathology , Lymphoma, Large B-Cell, Diffuse/pathology , Mediastinal Neoplasms/pathology , Neoplasm Invasiveness/pathology , Heart Atria , Heart Diseases/diagnosis , Humans , Male , Middle Aged , Thrombosis/diagnosisABSTRACT
Epiphrenic diverticulum is rare, comprising of about 10% of all esophageal diverticula. Carcinoma arising within such a diverticulum is even less common. We report on two patients with squamous cell carcinoma arising from an epiphrenic diverticulum. Some features of malignant change related to the epiphrenic diverticula were misdiagnosed or missed in our cases and other reports due to lack of clinical experience. It is important to exclude the possibility of malignancy as this is vital for surgical planning. Although the prognosis for patients with malignancy arising from an epiphrenic diverticulum is generally poor, a high index of suspicion may increase the chance of cure.
