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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  ;  Yong-Nam Yoon  ;  Boyoung Joung  ;  Se Hoon Kim 
Citation
 YONSEI MEDICAL JOURNAL, Vol.54(5) : 1285-1288, 2013 
Journal Title
YONSEI MEDICAL JOURNAL
ISSN
 0513-5796 
Issue Date
2013
Keywords
IgG4-related sclerosing disease ; sinoatrial node dysfunction ; pacemaker
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.
Files in This Item:
T201302666.pdf Download
DOI
10.3349/ymj.2013.54.5.1285
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Pathology (병리학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Se Hoon(김세훈) ORCID logo https://orcid.org/0000-0001-7516-7372
Song, Chang Ho(송창호)
Youn, Young Nam(윤영남)
Joung, Bo Young(정보영) ORCID logo https://orcid.org/0000-0001-9036-7225
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/87534
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