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Case Reports in Medicine
Volume 2016, Article ID 4125295, 3 pages
Case Report

Rare Intracardiac Tumor: Primary Cardiac Lymphoma Presenting as Atypical Angina

1Department of General Surgery, National University of Malaysia, Cheras, 56000 Kuala Lumpur, Malaysia
2Department of Cardiothoracic Surgery, Serdang Hospital, 43400 Selangor, Malaysia
3Department of Cardiothoracic Anesthesia, Serdang Hospital, 43400 Selangor, Malaysia

Received 8 November 2015; Accepted 27 December 2015

Academic Editor: Larry W. Moreland

Copyright © 2016 Karthigesu Aimanan et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Primary lymphomas of the heart are extremely rare, accounting for 2% of all primary cardiac tumors. Due to the rare presentation, there is no proper consensus available on treatment strategy. Preoperative confirmation of the pathology is fundamental in guiding an early treatment plan, which allows for improved prognosis. Unfortunately, in most cases, primary cardiac lymphoma is only identified on postoperative histopathological analyses, which affect the treatment plan and outcome. Here, we report a unique case of primary cardiac lymphoma presented with dyspnea and reduced effort tolerance. Young age, rapid onset of symptom, and absence of cardiac risk factors prompted us towards further imaging and emergency resection. The patient received a course of postoperative chemotherapy and was disease-free on six months of follow-up.