Constrictive Pericarditis Revealing Rare Case of ALH Amyloidosis With Underlying Lymphoplasmacytic Lymphoma (Waldenstrom Macroglobulinemia)

We present a case of pericardial amyloidosis with associated lymphoplasmacytic lymphoma in a patient with chronic worsening shortness of breath and cough. This case highlights the wide variation in the presentation of cardiac amyloidosis, and the rare occurrence of clinically significant light-chain...

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Veröffentlicht in:	JACC. Case reports Jg. 4; H. 5; S. 271 - 275
Hauptverfasser:	Ho, Vivian V., O’Sullivan, Jack W., Collins, William J., Ozdalga, Errol, Bell, Caitlin F., Shah, Neil D., Krishnam, Mayil S., Ozawa, Michael G., Witteles, Ronald M.
Format:	Journal Article
Sprache:	Englisch
Veröffentlicht:	Netherlands Elsevier Inc 02.03.2022 Elsevier
Schlagworte:	cancer cardiac magnetic resonance Cardiovascular Case Report constrictive electrocardiogram imaging pericardial effusion constrictive pericardial effusion electrocardiogram TTE AH ECG CMR cancer AL cardiac magnetic resonance imaging ALH cardiac magnetic resonance imaging light chain form of amyloidosis heavy chain form of amyloidosis transthoracic echocardiography light-chain and heavy-chain amyloidosis CMR, cardiac magnetic resonance imaging ALH, light-chain and heavy-chain amyloidosis TTE, transthoracic echocardiography ECG, electrocardiogram AL, light chain form of amyloidosis AH, heavy chain form of amyloidosis
ISSN:	2666-0849, 2666-0849
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Abstract	We present a case of pericardial amyloidosis with associated lymphoplasmacytic lymphoma in a patient with chronic worsening shortness of breath and cough. This case highlights the wide variation in the presentation of cardiac amyloidosis, and the rare occurrence of clinically significant light-chain and heavy-chain amyloidosis in the pericardium. (Level of Difficulty: Advanced.) [Display omitted]
AbstractList	We present a case of pericardial amyloidosis with associated lymphoplasmacytic lymphoma in a patient with chronic worsening shortness of breath and cough. This case highlights the wide variation in the presentation of cardiac amyloidosis, and the rare occurrence of clinically significant light-chain and heavy-chain amyloidosis in the pericardium. (Level of Difficulty: Advanced.) [Display omitted] AbstractWe present a case of pericardial amyloidosis with associated lymphoplasmacytic lymphoma in a patient with chronic worsening shortness of breath and cough. This case highlights the wide variation in the presentation of cardiac amyloidosis, and the rare occurrence of clinically significant light-chain and heavy-chain amyloidosis in the pericardium. ( Level of Difficulty: Advanced.) We present a case of pericardial amyloidosis with associated lymphoplasmacytic lymphoma in a patient with chronic worsening shortness of breath and cough. This case highlights the wide variation in the presentation of cardiac amyloidosis, and the rare occurrence of clinically significant light-chain and heavy-chain amyloidosis in the pericardium. (Level of Difficulty: Advanced.) We present a case of pericardial amyloidosis with associated lymphoplasmacytic lymphoma in a patient with chronic worsening shortness of breath and cough. This case highlights the wide variation in the presentation of cardiac amyloidosis, and the rare occurrence of clinically significant light-chain and heavy-chain amyloidosis in the pericardium. (Level of Difficulty: Advanced.).We present a case of pericardial amyloidosis with associated lymphoplasmacytic lymphoma in a patient with chronic worsening shortness of breath and cough. This case highlights the wide variation in the presentation of cardiac amyloidosis, and the rare occurrence of clinically significant light-chain and heavy-chain amyloidosis in the pericardium. (Level of Difficulty: Advanced.). We present a case of pericardial amyloidosis with associated lymphoplasmacytic lymphoma in a patient with chronic worsening shortness of breath and cough. This case highlights the wide variation in the presentation of cardiac amyloidosis, and the rare occurrence of clinically significant light-chain and heavy-chain amyloidosis in the pericardium. ( ).
Author	Ho, Vivian V. O’Sullivan, Jack W. Witteles, Ronald M. Ozdalga, Errol Shah, Neil D. Collins, William J. Bell, Caitlin F. Krishnam, Mayil S. Ozawa, Michael G.
Author_xml	– sequence: 1 givenname: Vivian V. surname: Ho fullname: Ho, Vivian V. email: vho1212@stanford.edu organization: Stanford University School of Medicine, Stanford, California, USA – sequence: 2 givenname: Jack W. surname: O’Sullivan fullname: O’Sullivan, Jack W. organization: Division of Cardiovascular Medicine, Department of Medicine, Stanford University, Stanford, California, USA – sequence: 3 givenname: William J. surname: Collins fullname: Collins, William J. organization: Department of Medicine, Stanford University, Stanford, California, USA – sequence: 4 givenname: Errol surname: Ozdalga fullname: Ozdalga, Errol organization: Department of Medicine, Stanford University, Stanford, California, USA – sequence: 5 givenname: Caitlin F. surname: Bell fullname: Bell, Caitlin F. organization: Division of Cardiovascular Medicine, Department of Medicine, Stanford University, Stanford, California, USA – sequence: 6 givenname: Neil D. surname: Shah fullname: Shah, Neil D. organization: Division of Cardiovascular Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin, USA – sequence: 7 givenname: Mayil S. surname: Krishnam fullname: Krishnam, Mayil S. organization: Department of Radiology/Cardiovascular Imaging, Stanford University, Stanford, California, USA – sequence: 8 givenname: Michael G. surname: Ozawa fullname: Ozawa, Michael G. organization: Department of Pathology, Stanford University, Stanford, California, USA – sequence: 9 givenname: Ronald M. surname: Witteles fullname: Witteles, Ronald M. organization: Division of Cardiovascular Medicine, Department of Medicine, Stanford University, Stanford, California, USA
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Keywords	constrictive pericardial effusion electrocardiogram TTE AH ECG CMR cancer AL cardiac magnetic resonance imaging ALH cardiac magnetic resonance imaging light chain form of amyloidosis heavy chain form of amyloidosis transthoracic echocardiography light-chain and heavy-chain amyloidosis CMR, cardiac magnetic resonance imaging ALH, light-chain and heavy-chain amyloidosis TTE, transthoracic echocardiography ECG, electrocardiogram AL, light chain form of amyloidosis AH, heavy chain form of amyloidosis
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References	Wechalekar, Chakraborty, Lentzsch (bib6) 2020; 34 Arat, Ulusoy, Demirer (bib3) 2002; 43 Arguelles, Rodriguez, Baltodano, Carrillo (bib2) 2011; 153 Daubert, Gaede, Cohen (bib1) 1993; 94 Garg, Guzzetti, Chetrit (bib4) 2021; 23 Dittrich, Kimmich, Hegenbart, Schönland (bib5) 2020; 143 Wechalekar (10.1016/j.jaccas.2022.01.007_bib6) 2020; 34 Arguelles (10.1016/j.jaccas.2022.01.007_bib2) 2011; 153 Arat (10.1016/j.jaccas.2022.01.007_bib3) 2002; 43 Daubert (10.1016/j.jaccas.2022.01.007_bib1) 1993; 94 Garg (10.1016/j.jaccas.2022.01.007_bib4) 2021; 23 Dittrich (10.1016/j.jaccas.2022.01.007_bib5) 2020; 143
References_xml	– volume: 43 start-page: 145 year: 2002 end-page: 148 ident: bib3 article-title: An unusual presentation of plasma cell dyscrasias: Cardiac tamponade due to myelomatous infiltration publication-title: Leuk Lymphoma – volume: 143 start-page: 388 year: 2020 end-page: 400 ident: bib5 article-title: Prognosis and staging of AL amyloidosis publication-title: Acta Haematol – volume: 94 start-page: 335 year: 1993 end-page: 340 ident: bib1 article-title: A fatal case of constrictive pericarditis due to a marked, selective pericardial accumulation of amyloid publication-title: Am J Med – volume: 153 start-page: e7 year: 2011 end-page: e9 ident: bib2 article-title: Systemic amyloidosis presenting as constrictive pericarditis in a young adult publication-title: Int J Cardiol – volume: 34 start-page: 1027 year: 2020 end-page: 1039 ident: bib6 article-title: Systemic amyloidosis due to low-grade lymphoma publication-title: Hematol Oncol Clin North Am – volume: 23 start-page: 169 year: 2021 ident: bib4 article-title: Established and emerging techniques for pericardial imaging with cardiac magnetic resonance publication-title: Curr Cardiol Rep – volume: 94 start-page: 335 year: 1993 ident: 10.1016/j.jaccas.2022.01.007_bib1 article-title: A fatal case of constrictive pericarditis due to a marked, selective pericardial accumulation of amyloid publication-title: Am J Med doi: 10.1016/0002-9343(93)90066-X – volume: 143 start-page: 388 year: 2020 ident: 10.1016/j.jaccas.2022.01.007_bib5 article-title: Prognosis and staging of AL amyloidosis publication-title: Acta Haematol doi: 10.1159/000508287 – volume: 43 start-page: 145 year: 2002 ident: 10.1016/j.jaccas.2022.01.007_bib3 article-title: An unusual presentation of plasma cell dyscrasias: Cardiac tamponade due to myelomatous infiltration publication-title: Leuk Lymphoma doi: 10.1080/10428190210182 – volume: 153 start-page: e7 year: 2011 ident: 10.1016/j.jaccas.2022.01.007_bib2 article-title: Systemic amyloidosis presenting as constrictive pericarditis in a young adult publication-title: Int J Cardiol doi: 10.1016/j.ijcard.2010.12.108 – volume: 34 start-page: 1027 year: 2020 ident: 10.1016/j.jaccas.2022.01.007_bib6 article-title: Systemic amyloidosis due to low-grade lymphoma publication-title: Hematol Oncol Clin North Am doi: 10.1016/j.hoc.2020.08.016 – volume: 23 start-page: 169 year: 2021 ident: 10.1016/j.jaccas.2022.01.007_bib4 article-title: Established and emerging techniques for pericardial imaging with cardiac magnetic resonance publication-title: Curr Cardiol Rep doi: 10.1007/s11886-021-01595-z
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SubjectTerms	cancer cardiac magnetic resonance Cardiovascular Case Report constrictive electrocardiogram imaging pericardial effusion
Title	Constrictive Pericarditis Revealing Rare Case of ALH Amyloidosis With Underlying Lymphoplasmacytic Lymphoma (Waldenstrom Macroglobulinemia)
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