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- Received October 6, 2008
- Accepted October 15, 2008
- Published online March 3, 2009.
A 72-year-old man was admitted to our cardiology unit for dyspnea and jugular ingurgitation evolving during the course of 2 months. A transthoracic echocardiogram revealed a mass in the right auricle opening into the superior cava vein (A, thin white arrow)and infiltrating the left auricle (A, thick white arrow). Using positron emission tomography/computed tomography (B, C, and D)we detected intense hypermetabolic foci in the right auricle (C, white arrow)and anterior mediastinum (B and long black arrow in C), with pulmonary and pleural embolizations (C, short black arrow). Cavography (E)with catheterization of the right femoral vein revealed superior vena cava syndrome as a result of the large mass, from which a 1-cm2biopsy was taken. Anatomopathological study (F)found intense proliferation with abundant mitosis (black arrow)corresponding to a diffuse large B cell lymphoma.
- Received October 6, 2008.
- Accepted October 15, 2008.
- American College of Cardiology Foundation