Paroxysmal supraventricular tachycardia as a major clinical presentation of the primary coronary sinus lymphoma: A case report.

RATIONALE: Primary cardiac lymphoma is a rare tumor, especially a tumor located in coronary sinus (CS). The most common symptom of cardiac tumors is dyspnea, accounting for 64%, followed by chest pain, accounting for 26%. However, the cases with paroxysmal supraventricular tachycardia (SVT) as a major clinical presentation are extremely rare.

PATIENT CONCERNS: We report a 55-year-old female patient with primary CS lymphoma and paroxysmal SVT.

DIAGNOSES: After the surgical resection, pathology revealed the evidence of diffuse large B-cell lymphoma.

INTERVENTIONS: The patient underwent chemotherapy after CS tumor resection.

OUTCOMES: The patient was disease-free during the 6-month follow-up.

LESSONS: CS enlargement may be the cause of SVT. Echocardiography should focus on the CS section to arrive at the right diagnosis.