IgG4-Related Sclerosing Disease Involving the Superior Vena Cava and the Atrial Septum of the Heart
Yonsei Medical Journal
; : 1285-1288, 2013.
Article
em En
| WPRIM
| ID: wpr-74270
Biblioteca responsável:
WPRO
ABSTRACT
A 55-year-old woman presented with frequent episodes of syncope due to sinus pauses. During ambulatory Holter monitoring, atrial fibrillation and first-degree atrioventricular nodal block were observed. Magnetic resonance imaging and CT scans showed a tumor-like mass from the superior vena cava to the right atrial septum. Open chest cardiac biopsy was performed. The tumor was composed of proliferating IgG4-positive plasma cells and lymphocytes with surrounding sclerosis. The patient was diagnosed with IgG4-related sclerosing disease. Because of frequent sinus pauses and syncope, a permanent pacemaker was implanted. The cardiac mass was inoperable, but it did not progress during the one-year follow-up.
Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Marca-Passo Artificial
/
Esclerose
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Síncope
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Veia Cava Superior
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Imunoglobulina G
/
Septo Interatrial
Limite:
Female
/
Humans
Idioma:
En
Revista:
Yonsei Medical Journal
Ano de publicação:
2013
Tipo de documento:
Article