Giant Cardiac Cavernous Hemangioma

Cardiac Cavernous Hemangioma

Around 2% of resected cardiac masses are ascribed to primary cardiac hemangiomas. With a variety of symptoms and variable natural history, these masses can be challenging to diagnose. This paper describes a case of a left ventricular mass in a young patient which was ultimately excised and diagnosed as a cavernous hemangioma.

Lobulated Hemangioma as a Rare Cause of Tricuspid Regurgitation

Introduction

Cardiac hemangioma is one of the rarest tumors, with only a few cases described. Unlike other cardiac tumors, its symptoms are nonspecific, making misdiagnosis easy. Cardiac hemangioma can present with various clinical manifestations, including valve disorder, arrhythmia, pericardial effusion, and embolism. Echocardiography is the most direct examination, and surgical resection the simplest and most effective treatment.

Patients and methods

We present a new case of lobulated cardiac hemangioma causing tricuspid regurgitation and discuss the clinical features, diagnosis, and treatment of this rare tumor.

Results

After surgical resection and tricuspid valve replacement, the patient recovered well.

Conclusion

For cardiac hemangiomas involving the tricuspid valve, tumor resection combined with valve surgery is an effective treatment option.

Cardiac cavernous hemangioma with high fluorodeoxyglucose uptake on preoperative positron emission tomography/computed tomography: a case report

BACKGROUND

Reports on cardiac hemangioma detection by F-18-deoxyglucose (FDG) positron emission tomography (PET)/computed tomography (CT) are extremely rare.

CASE PRESENTATION

Here we describe a case of a 61-year-old man with hemangioma. CT revealed a tumor with a size of 60 mm. Magnetic resonance imaging showed high signal intensity on T2-weighted images. Hemangioma was initially suspected. However, PET/CT showed high FDG absorption, which led us to suspect a malignant tumor. The tumor was resected, and a cavernous hemangioma diagnosis was made by postoperative histopathological examination.

CONCLUSIONS

This case may serve as a reference for clinicians to become more aware of the potential application of FDG PET/CT for cardiac hemangioma detection.

Rheumatism as a cause of cardiac hemangioma: a rare case report and review of literature with special focus on etiology

BACKGROUND

Cardiac hemangioma is a very rare benign tumor of the heart which accounts for 1-2% of all primary cardiac tumors. Multiple cardiac hemangiomas are even rarer with only three cases published in the literature. Pathologically it can be divided into cavernous hemangioma, capillary hemangioma, arteriovenous hemangioma, mixed-type hemangioma, and so on. At present, the etiology of cardiac hemangioma is not completely clear. In this study, we present multiple cardiac hemangiomas located in the right atrium and discuss the new unreported possible cause (rheumatism) of cardiac hemangioma. This is the fourth case of multiple cardiac hemangiomas in the medical literature and the first time to present rheumatism as the cause of cardiac hemangioma.

CASE PRESENTATION

A 53-year-old man presented to the clinic with intermittent chest tightness and shortness of breath for 2 years. On echocardiography, multiple soft tissue masses in the right atrium were found. The patient had rheumatic heart disease with severe mitral stenosis and moderate tricuspid regurgitation. Two masses with a diameter of about 20 mm and 15 mm were seen in the right atrium. One mass was located on the inferior margin of the fossa ovalis and the other was adjacent to the inferior vena cava. Both masses were successfully removed surgically. The mitral valve replacement and tricuspid valve plasty were performed at the same time. The postoperative histopathology results confirmed the diagnosis of cavernous hemangioma.

CONCLUSION

The occurrence of multiple hemangiomas in the heart is possible, especially in the presence of rheumatism. Rheumatism is one of the possible etiologies of cardiac hemangioma. Cardiologists and cardiac surgeons should be aware of its occurrence and should consider cardiac hemangioma as a differential diagnosis especially in rheumatic heart disease patients when they present with soft tissue cardiac masses for accurate management.

A Giant Cardiac Cavernous Hemangioma Involving the Left Atrial Roof in an Elderly Woman

Cardiac tumors are relatively rare, with primary hemangiomas being a particularly rare benign neoplasm. Herein, we report a case of a symptomatic cardiac tumor detected via echocardiography in an 82-year-old woman. Although we performed advanced imaging examinations for her heart, we could not diagnose the tumor before surgery. Eventually, a tumor involving the left atrial roof was detected, and it was completely resected to relieve her symptoms and establish a precise diagnosis. Histopathological examination indicated a cardiac cavernous hemangioma. The patient exhibited an uneventful recovery without any complications.

A Giant Cavernous Hemangioma of the Left Atrioventricular Groove

A 10-year-old Chinese female diagnosed with an asymptomatic giant cardiac cavernous hemangioma was reported. The patient originally tended to observation because this unusual cardiac tumoral mass was discovered incidentally during routine health examination of transthoracic echocardiography. Over 5 years of follow-up, the mass had enlarged obviously, and the patient visited our outpatient clinic and was prone to excision. Subsequently, a total resection surgery of the tumor was performed, and the tumor was found to be located on the left atrioventricular groove with complete packing membrane. The patient was discharged on postoperative day 4 and remains asymptomatic on last follow-up.