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• W2105654705 abstract "A 42-year-old Hispanic man was referred from an outside hospital for evaluation of a large mediastinal and intracardiac mass. He was in his usual state of health until 4 months previously when he developed facial flushing and swelling. One month prior to admission, he developed a dry cough and progressive dyspnea, with lightheadedness and hemoptysis over a 2-week period. He also complained of orthopnea and mild chest pain. A chest X-ray revealed a right-sided pleural effusion and right lung opacities [Figure 1(A)]. Symptoms worsened despite a week of antibiotics, and a computed tomography (CT) scan revealed a mediastinal mass invading the heart, prompting hospital transfer for further management. Radiographic studies upon admission to our hospital confirmed the presence of a large pleural effusion, and demonstrated a large soft tissue mass with transmural cardiac invasion involving the bilateral atrial walls and the intra-atrial septum with lobulated extension into the right atrium [Figure 1(B)]. There was encasement and marked narrowing of the right anterior descending artery, right pulmonary artery, right bronchus, and inferior pulmonary veins as well as complete occlusion of the distal superior vena cava extending cranially from the superior vena cava into the azygos origin and the left subclavian vein. A positron emission tomgraphy (PET) scan revealed a large area of contiguous hypermetabolic activity involving the right heart, with extension into the intra-atrial septum and medial aspect of the left atrium, with a maximum standardized uptake value (SUV) of 6.0 [Figure 1(C)]. A transthoracic echocardiogram revealed a moderate pericardial effusion over the right ventricle, collapse of the right atrium, and severe reduction in cardiac input due to a mass in the right atrium. Radiographically, no abnormalities were found in his brain, abdomen, or pelvis. Laboratory evaluation showed a white blood cell count (WBC) of 8.03 × 109/L with 74% neutrophils, 19% lymphocytes, 4% monocytes, 2% eosinophils, 1% basophils and no immature forms; he had a mild normocytic anemia (hemoglobin 12.1 g/dL, mean corpuscular volume [MCV] 88 fL) and a normal platelet count (297 × 1012/L). His lactate dehydrogenase (LDH) was 173 U/L. Telemetry revealed a junctional rhythm alternating with sinus rhythm and frequent premature atrial contractions." @default.
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• W2105654705 date "2012-05-21" @default.
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• W2105654705 title "Myeloid sarcoma of the heart" @default.
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• W2105654705 doi "https://doi.org/10.3109/10428194.2012.685736" @default.
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