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Ashutosh Hardikar
Prem Shekar
John Stubberfield
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Ann Thorac Surg 2002;73:1310-1312
© 2002 The Society of Thoracic Surgeons

Case report

Cardiac involvement in a case of acute lymphoblastic leukemia

Ashutosh Hardikar, MCh, FRCS*a, Prem Shekar, MCh, FRCSa, John Stubberfield, FRACSa, David R. Craddock, FRCS, FRACSa, Leon P. Bignold, FRCPAb

a Department of Cardiothoracic Surgery, The Royal Adelaide Hospital Adelaide, Australia
b Division of Tissue Pathology, Institute of Medical and Veterinary Science, Adelaide, Australia

Accepted for publication August 7, 2001.

* Address reprint requests to Dr Hardikar, Department of Cardiothoracic Surgery, Royal Adelaide Hospital, Level IV, East Wing, North Terrace, Adelaide 5000, South Australia
e-mail: a_hardikar{at}hotmail.com

We present an extremely rare case of an immunocompromised patient with a T-cell acute lymphocytic leukemia relapse presenting as a right atrial tumor. Problems in diagnosis, vulnerability due to previous immunosuppression and bone marrow transplant, and successful surgical excision are highlighted. Cardiac involvement with hematologic neoplasms should be taken with more than academic interest, as it may be amenable to treatment.




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