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IgG4-Related Sclerosing Disease Involving the Superior Vena Cava and the Atrial Septum of the Heart

Authors
 Changho Song ; Myoung Ju Koh ; Se Hoon Kim ; Boyoung Joung ; Yong-Nam Yoon 
Citation
 Yonsei Medical Journal, Vol.54(5) : 1285~1288, 2013 
Journal Title
 Yonsei Medical Journal 
ISSN
 0513-5796 
Issue Date
2013
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.
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/87534
DOI
10.3349/ymj.2013.54.5.1285
Appears in Collections:
1. 연구논문 > 1. College of Medicine > Dept. of Thoracic & Cardiovascular Surgery
1. 연구논문 > 1. College of Medicine > Dept. of Pathology
1. 연구논문 > 1. College of Medicine > Dept. of Internal Medicine
Yonsei Authors
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