Case reportRare presentation of cardiac hemangiomas
Section snippets
Case 1
A 74-year-old male was admitted for coronary artery bypass grafting. He had stable angina with T-wave changes and first-degree atrioventricular block evident in the electrocardiogram. Ischemia was demonstrated in the treadmill protocol and triple-vessel disease was found at angiography. The left ventricular ejection fraction was preserved with 65%. At elective surgery, an unexpected mass arising from the anterior wall of the right ventricle displacing the right coronary artery was found. This
Comment
Hemangiomas are benign primary tumors responsible for less than 2% of all heart neoplasms. They may arise both from the epicardium and myocardium but are also found in cardiac cavities. Therefore, the spectrum of clinical symptoms is broad: from pericardial effusion to dysrrhythmia, from signs of heart failure to pseudo-angina when tumor tissue compresses epicardial coronary arteries 5, 6.
The presented cases illustrate well the variety of clinical presentation due to the different localization.
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Cited by (24)
Dyspnea and Chest Pain in a Young Woman Caused by a Giant Pericardial Lymphohemangioma: Diagnosis and Treatment
2016, Canadian Journal of CardiologyCitation Excerpt :There are fewer than 2 dozen cases of cardiac lymphangioma in the literature, the majority occurring in patients younger than 10 years of age.2 Given the low likelihood of spontaneous resolution and high recurrence rates, complete surgical resection is recommended in symptomatic patients.3 A single case of a cardiac lymphohemangioma has been reported.4
Cardiac hemangioma: A comprehensive analysis of 200 cases
2015, Annals of Thoracic SurgeryCitation Excerpt :Specifically, the right atrium was the most common location (26.2%). Of all the cases involving the septum, two of them were simply related to interatrial septum [15, 16] and three were confined to the interventricular septum alone [9, 17, 18], without extending into the cardiac chambers. In terms of the site of origin, we found that most of the CH originated in the left ventricle (20.2%), whereas the aortic valve was the least possible site (1.0%) [14, 19].
Management of right atrial hemangioma in a patient with antithrombin deficiency
2015, Annals of Thoracic SurgeryCitation Excerpt :In our patient, we also used AT-III concentrate and heparin to maintain AT-III activity up to 80% perioperatively, facilitating an uneventful cardiac operation. Cardiac hemangioma is rare and accounts for approximately 2% of all primary cardiac tumors [5]. Its symptoms are nonspecific, and the tumor is usually detected incidentally.
Coronary and atrial compression by a giant cardiac hemangioma
2014, Cardiovascular PathologyCitation Excerpt :The growth rate of hemangiomas is unpredictable: they may proliferate, remain stable or regress; recently, 43% increase in tumor size over approximately 1 year was reported by two serial positron emission tomography scans [5]. A rapid growth may cause various symptoms due to compression of adjacent cardiac structures [1,2,6]: particularly, myocardial ischemia due to extrinsic coronary compression by a hemangioma has been rarely described [7]. Cardiac CT and CMR are complementary techniques, both crucial to the accurate noninvasive diagnosis of cardiac masses [8].
Cardiac cavernous hemangioma and multiple pulmonary cavernous hemangiomas
2014, Annals of Thoracic SurgeryCitation Excerpt :The histologic classification includes capillary, cavernous, and arteriovenous hemangiomas, but the cause is not yet very clear. Cardiac hemangiomas are exceedingly rare, representing only 1% to 2% of all detected benign heart neoplasms [1]. They can occur at any age and in any layer of the heart, including the epicardium, myocardium, and endocardium [2], although the epicardium is the most common location [3].
Successful detection and surgical treatment of cardiac hemangioma with right ventricular invasion
2013, Annals of Thoracic Surgery