Diagnosis of a rare cardiac human herpesvirus-8 positive B-cell lymphoma manifestation: a case report of a transoesophageal echocardiography-guided trans-septal catheter biopsy. Issue 2 (9th April 2018)

• Record Type: Journal Article
• Authors: Schneider, Christine M; Buiatti, Alessandra; Schwamborn, Kristina; Dirschinger, Ralf J
• Is Part Of: European heart journal. Volume 2:Issue 2(2018)
• Page Start: 1
• Page End: 5
• Publication Date: 2018-04-09
• Subjects: Case report -- Trans-septal catheter biopsy -- Transoesophageal echocardiography -- Heart tumour -- HHV-8+ -- B-cell lymphoma -- HIV; Cardiology -- Periodicals; Cardiology -- Case studies -- Periodicals; Heart -- Diseases -- Periodicals; Heart -- Diseases -- Case studies -- Periodicals; 616.12
• DOI: 10.1093/ehjcr/yty037
• Languages: English
• ISSNs: 2514-2119

Abstract

Abstract: Introduction: Human herpesvirus-8-associated B-cell lymphoma is a common disease entity in immunocompromised individuals, particularly in patients with chronic HIV-infection or AIDS. However, cardiac manifestations are extremely rare. Tissue for histopathology of left cardiac tumours is most commonly obtained by open surgery. Case presentation: In this report, we present a case of a solitary left atrial manifestation of an HHV8+ B-cell lymphoma in a 59-year-old patient presenting with B symptoms and a cardiac mass on echocardiography. Due to the high operative risk of the patient, a transcatheter/trans-septal biopsy was performed to establish the diagnosis. Discussion: In the era of routine trans-septal catheter interventions, this approach may represent a straight-forward, minimally invasive alternative for patients at high risk for surgery.