Right Coronary Artery "Vessel Floating Sign" in a Patient With Primary Cardiac Lymphoma

Mark Kheifets; Gideon Shafir; Ronit Gurion; Pia Raanani; Ran Kornowski; Amos Levi

doi:10.1016/j.jaccas.2021.08.004

Right Coronary Artery "Vessel Floating Sign" in a Patient With Primary Cardiac Lymphoma

JACC Case Rep. 2021 Oct 6;3(13):1524-1526. doi: 10.1016/j.jaccas.2021.08.004.

Authors

Mark Kheifets¹, Gideon Shafir², Ronit Gurion³, Pia Raanani³, Ran Kornowski¹, Amos Levi¹

Affiliations

¹ Cardiology Division, Rabin Medical Center, Petach Tikva and the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
² Department of Imaging, Rabin Medical Center, Petach Tikva and the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
³ Institute of Hematology, Rabin Medical Center, Petach Tikva and the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Abstract

Primary cardiac lymphoma is a rare and lethal tumor. We describe a patient with right coronary artery floating sign, a specific radiologic sign. Despite rapid diagnosis and guideline-directed medical therapy, disease relapsed and the patient died. Nevertheless, this case highlights the crucial role of imaging in cardiac tumors. (Level of Difficulty: Intermediate.).

Keywords: CT, computed tomography; PCL; PCL, primary cardiac lymphoma; imaging.