Case Session 03: Pericardial Disease (2018)-Unusual Cause of Chest Pain

Video Transcription

Video Summary

A 58-year-old woman presented with a week of non-radiating chest pain, elevated troponin, and inflammatory markers, but normal coronary angiography. Echocardiography and cardiac MRI revealed two infiltrative right-sided cardiac masses involving the right ventricle, septum, and pericardium. Endomyocardial biopsy confirmed diffuse large B-cell lymphoma. She was transferred for chemotherapy and completed six cycles, with marked reduction of the mass on follow-up echocardiography. At 10 months, she achieved full clinical and laboratory remission. The case highlights the importance of advanced cardiac imaging when chest pain and cardiac biomarkers suggest myocardial injury despite normal coronaries.

Keywords

diffuse large B-cell lymphoma

cardiac masses

cardiac MRI

elevated troponin

normal coronary angiography