{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,14]],"date-time":"2025-12-14T08:29:59Z","timestamp":1765700999279,"version":"3.40.5"},"reference-count":11,"publisher":"Wiley","license":[{"start":{"date-parts":[[2023,1,5]],"date-time":"2023-01-05T00:00:00Z","timestamp":1672876800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Hematology"],"published-print":{"date-parts":[[2023,1,5]]},"abstract":"<jats:p>Primary cardiac lymphoma (PCL) is a rare, potentially fatal subtype of non-Hodgkin\u2019s lymphoma. Thrombocytopenia has also infrequently been reported in association with other primary cardiac tumours and can add substantial morbidity to an already life-threatening diagnosis if present. We report a rare case of a 70-year-old man who presented with thrombocytopenia (91\u2009\u00d7\u2009109\/L) and progressive right heart failure. Transthoracic echocardiogram revealed a large 8\u2009\u00d7\u20094\u2009cm right atrial mass with severe tricuspid obstruction, confirmed as PCL on subsequent endomyocardial biopsy and immunohistochemistry. He deteriorated into cardiogenic shock precipitated by atrial fibrillation, with worsening thrombocytopenia (18\u2009\u00d7\u2009109\/L) in the setting of ischaemic hepatitis. The patient stabilised with initiation of high dose steroids prior to tissue diagnosis and platelet counts normalised following chemotherapy. This case demonstrates the importance of considering PCL as a diagnosis and preemptive initiation of high dose steroids to improve outcomes in PCL associated with cardiogenic shock. This case also elucidates a potential pathophysiological association between PCL and thrombocytopenia.<\/jats:p>","DOI":"10.1155\/2023\/5501131","type":"journal-article","created":{"date-parts":[[2023,1,6]],"date-time":"2023-01-06T02:35:06Z","timestamp":1672972506000},"page":"1-4","source":"Crossref","is-referenced-by-count":2,"title":["Primary Cardiac Lymphoma Presenting with Thrombocytopenia, Right Heart Failure, and Cardiogenic Shock"],"prefix":"10.1155","volume":"2023","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2160-1705","authenticated-orcid":true,"given":"Samantha","family":"Kurniawan","sequence":"first","affiliation":[{"name":"Department of Haematology, Prince of Wales Hospital, Randwick, NSW 2031, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6628-163X","authenticated-orcid":true,"given":"Gita","family":"Mathur","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Prince of Wales Hospital, Randwick, NSW 2031, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yvonne","family":"Bogun","sequence":"additional","affiliation":[{"name":"Department of Pathology, Prince of Wales Hospital, Randwick, NSW 2031, Australia"},{"name":"University of NSW, Randwick, NSW 2031, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5834-0890","authenticated-orcid":true,"given":"Giselle","family":"Kidson-Gerber","sequence":"additional","affiliation":[{"name":"Department of Haematology, Prince of Wales Hospital, Randwick, NSW 2031, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(68)90250-6"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.25444"},{"issue":"3","key":"3","first-page":"265","article-title":"A case of primary cardiac lymphoma complicated by idiopathic thrombocytopenic purpura","volume":"40","author":"H. 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