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A Case of Reversible Ventricular Tachycardia and Complete Atrioventricular Block Associated with Primary Cardiac B-Cell Lymphoma
Authors:YASUAKI TANAKA,M.D.,HIROSHIGE YAMABE,M.D.,HIROSHI YAMASAKI,M.D.,&dagger  ,HIROYUKI TSUDA,M.D.,&dagger  ,YASUHIRO NAGAYOSHI,M.D.,HIROAKI KAWANO,M.D.,YOSHIHIRO KIMURA,M.D.,&Dagger  ,YOICHI HOKAMURA,M.D.,&Dagger  , HISAO OGAWA,M.D.
Affiliation:From the Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Kumamoto 860-8556, Japan;;and Division of Hematology;and Division of Cardiology, Kumamoto City Hospital, Kumamoto 862-8505, Japan
Abstract:We report a long-term survival case of primary cardiac lymphoma with reversible ventricular tachycardia (VT) and complete atrioventricular block (C-AVB). A 65-year-old man with VT was treated by oral amiodarone administration. Later, a dual-chamber pacemaker was implanted because of C-AVB. Then, he was readmitted, as he complained of fever and chest pain. Echocardiography showed an enlarged cardiac mass and thus an open-chest biopsy was performed. He was then diagnosed with primary cardiac lymphoma. The chemotherapy and radiotherapy resulted in the disappearance of the mass. Complete remission has been maintained for 8 years after the therapy, and no VT or C-AVB has been detected.
Keywords:lymphoma    ventricular tachycardia    atrioventricular block
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