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Document Details :
Title: An unusual case of biventricular cardiac failure
Author(s): SCHOETERS, Patrick , DE RAEDT, Herbert , COLEMONT, Luc
Journal: Acta Cardiologica
Volume: 56 Issue: 2 Date: April 2001
We present a patient with acute retrosternal pain and dyspnoea. Clinical examination revealed a woman in shock with a loud holosystolic murmur and congested jugular veins. Echocardiography showed severe mitral insufficiency. At transoesophageal echocardiography a large mass was seen in the right atrium.The differential diagnosis was a thrombus or an intracardiac tumour. Subsequent histology revealed a non-Hodgkin lymphoma in the right atrium, the wall of the left atrium extending to the mitral valve and further location in the pelvis and duodenum. The discussion incorporates a brief overview of the literature.