A Successful Case of Cardiac Operation and Chemotherapy for Primary Cardiac Malignant Lymphoma with Superior Vena Cava Syndrome

Takao Tsuchida	Kentaro Yano and Hitoshi Fukumoto

（Department of Cardiovascular Surgery, Shiroyama Hospital Cardiovascular Center, Habikino, Japan）

Primary cardiac lymphomas are rare cardiac neoplasms with poor prognoses. We report a 61-year-old man who presented with superior vena cava（SVC）syndrome. Trans-thoracic echocardiography showed a 77×91-mm mass occupying the right atrium. The tumor obstructed the SVC. The deteriorating hemodynamics of our patient prompted a surgical intervention. We resected as much of the tumor as possible under cardiopulmonary bypass. The postoperative course was uneventful, and the SVC syndrome disappeared. Pathological examination was consistent with malignant lymphoma, diffuse large B-cell type. After cardiac operation, the patient was treated with rituximab, cyclophosphamaide, adriamycin, vincristin, and prednisone（CHOP-R). The patient has been in good health for 30 months without signs of recurrence.

　

Jpn. J. Cardiovasc. Surg. 43:146-149（2014）

Keywords：primary cardiac lymphoma;surgical resection;SVC syndrome