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Atit A Gawalkar1, Soumitra Ghosh1, Dinakar Bootla1, Pruthvi C Revaiah1, Charanpreet Singh2, Parminder Singh Otaal1
1 Department of Cardiology, Post Graduate Institute of Medical Education and Research, Chandigarh, India
2 Department of Clinical Haematology, Post Graduate Institute of Medical Education and Research, Chandigarh, India
Correspondence Address:
Dr. Parminder Singh Otaal
Department of Cardiology, Post Graduate Institute of Medical Education and Research, Sector-12, Chandigarh - 160 012
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/apc.apc_52_21
Cardiac involvement in T-cell lymphoma is not uncommon. Pericardial effusion is the most common manifestation of cardiac involvement with restrictive cardiomyopathy (RCM) due to tumor infiltration being extremely rare. The presence of paroxysmal nocturnal dyspnea and orthopnea in a patient presenting with pericardial effusion could be related to tamponade or underlying myocardial disease. Hence, reevaluation after pericardiocentesis is warranted. We describe a 14-year-old boy with advanced T-cell lymphoma presenting with cardiac tamponade. Repeat echocardiography after pericardiocentesis revealed mediastinal mass infiltrating cardiac chambers and great vessels along with features of RCM secondary to tumor infiltration.
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