Rare presentation of cardiac hemangiomas

B, Hote MP. Rare case of Left Ventricular Hemangioma

Cardiac tumors are rare in occurrence. Among them, primary cardiac tumors that too hemangiomas are further rare. They usually are asymptomatic and are detected incidentally. Preoperative diagnosis may not correlate with histopathologic diagnosis. We report such a rare case of left ventricular hemangioma presented to us with vague chest discomfort, which preoperatively was suspected to be rhabdomyoma or fibroma.

Diagnostic mystery-a rare right ventricular cardiac hemangioma: a case report

BACKGROUND

Cardiac hemangiomas are rare in all kinds of benign cardiac tumors. Although cardiac hemangiomas affect all ages and may occur anywhere within the heart, right ventricular hemangiomas are extremely uncommon.

CASE PRESENTATION

We report a 56-year-old woman presented with chest tightness and breath shortness for 3 months. Transthoracic echocardiography and coronary computed tomography angiography showed a mass located adjacent to the apex of the right ventricle but both failed to figure out where the mass originated from, remaining a diagnostic mystery preoperatively. The mass was removed successfully and the histopathological examination confirmed it was hemangioma.

CONCLUSIONS

Cardiac magnetic resonance should be the ultimate diagnostic tool of cardiac tumors. Surgical removal, associated with a low recurrence rate and long-term survival benefits, should be the first choice of therapy for cardiac hemangiomas.

An MRI Image Analysis of Primary Cardiac Neoplasms

Objective

This study aimed to examine the magnetic resonance imaging (MRI) characteristics of primary cardiac neoplastic lesions.

Methods

A retrospective investigation was conducted on 24 cases of primary cardiac neoplastic lesions as confirmed by surgery and pathology results. All the cases in this study received MRI multi-sequence and multi-dimension scanning, including the cardiac long-axis and short-axis cine sequences, parameter sequences of the cardiac long axis and short axis (T1WI, T2WI), first-pass perfusion sequence, and delayed enhancement sequence of the cardiac long axis and short axis. The age and gender of the patients and the location, size, signal characteristics, and relationship with the neighboring tissues of all the lesions were examined.

Results

Twenty-four cases of primary neoplastic lesions were examined in this study, the onset age was 11–72 years old, the median age was 53 years old, and the mean age was 46 years old. Among these cases, there were 8 cases including males and 16 cases including females, 19 cases were benign lesions; including 11 cases of myxoma, 4 cases of hemangioma, 1 case of paraganglioma, 1 case of PEcoma, 1 case of hamartoma, and 1 case of lipoma. The malignant lesions included 3 sarcomas and 2 lymphomas in 5 patients.

Conclusion

MRI imaging provides a great value in the preoperative classification of primary cardiac neoplastic lesions.

Dyspnea and Chest Pain in a Young Woman Caused by a Giant Pericardial Lymphohemangioma: Diagnosis and Treatment

We describe a 21-year-old woman who presented with chest pain and dyspnea on exertion and who was found to have a large pericardial mass. Multimodality imaging was instrumental in narrowing the differential diagnosis and planning surgical treatment, which included coronary artery bypass and right-sided heart reconstruction. The final pathologic diagnosis was lymphohemangioma; to our knowledge, this was the largest cardiac/pericardial vascular tumor ever to be reported in the literature.

Coronary and atrial compression by a giant cardiac hemangioma

A 57-year-old asymptomatic man showed a round echo-dense mass, partially occupying the left atrium on echocardiography. Magnetic resonance localized the mass in the atrioventricular groove, inside the pericardial space, and showed a large hepatic mass too. Computed tomography revealed significant compression of the left main coronary artery and of the left pulmonary veins outlet. The tumor was surgically removed and diagnosed as hemangioma. Heart hemangiomas are extremely rare; they are usually asymptomatic but sometimes they grow rapidly, causing various symptoms. In our case, life-threatening compression of the left main coronary artery and of the pulmonary veins warranted the intervention.

A giant cavernous hemangioma of the heart

Cardiac hemangiomas are exceptionally rare, vascular neoplasms of the heart, with an incidence of 1% to 2% among all detected benign heart tumors. With the availability of the advanced imaging modalities of the heart, asymptomatic cardiac tumors are detected more frequently. These tumors are composed either of capillaries or larger cavernous channels. Herein, we report a rare case of a huge cardiac hemangioma involving both ventricles, which is not amenable to a curative surgical resection.

Mitral Annular Tumors: Report of Two Cases in Childhood

Primary tumors of the mitral valve are extremely rare especially in the pediatric age group; only a few cases have been reported previously. The clinical appearance of the tumor may mimic other pathological findings of heart structures or remain asymptomatic. We describe two different benign primary cardiac tumors, which were hemangioma and myxoma originating from the anterior annulus of the mitral valve and presenting with an unusual clinical course in two children. Both tumors were resected successfully with mitral valve conservation and there was no recurrence at 6-month and 1-year follow-ups.

Cardiac hemangioma complicated with cerebral and coronary embolization

Cardiac hemangiomas are rare, benign vascular tumors of the heart. Because of their clinical manifestations, diagnosis is difficult and few surgeons can draw from extensive experience. The purpose of this study was to report an additional case of cardiac hemangioma and to analyze the unexpected aspect of this disease. In our case, echocardiography demonstrated a mass in the left ventricle. Surgical resection was done using cardiopulmonary bypass. Histopathological examination revealed that the tumor was a hemangioma. The short-term outcome was favorable.

Cardiac tumours: diagnosis and management

Primary cardiac tumours are rare, with an autopsy incidence ranging from 0.001% to 0.030%. Three-quarters of these tumours are benign and nearly half of the benign tumours are myxomas. Metastases to the heart are far more common than primary cardiac tumours. Primary cardiac tumours present with one or more of the symptoms of the classic triad of: cardiac symptoms and signs resulting from intracardiac obstruction; signs of systemic embolisation; and systemic or constitutional symptoms. They are diagnosed by use of transthoracic and transoesophageal echocardiograms, MRI, and CT scan. Whereas surgery is indicated in patients with benign tumours, systemic chemotherapy is indicated in those who have widespread or unresectable malignant disease, and chemotherapy and radiotherapy are usually combined in treatment of patients with primary cardiac lymphomas. The prognosis after surgery is usually excellent in the case of benign tumours but is unfortunately still limited in localised malignant diseases. Patients with sarcomas live for a mean of 3 months to 1 year, and those with lymphomas live up to 5 years if treated, but usually die within 1 month if untreated.