Cardiac Hemangioma Research Articles

Debulking surgery for venous hemangioma arising from the epicardium: report of a case

BackgroundCardiac hemangiomas are rare benign vascular tumors that can occur in any cardiac layer: endocardium, myocardium, or epicardium. Histologically, cardiac hemangiomas may be classified as capillary, cavernous, or arteriovenous; venous hemangiomas are extremely rare.Case presentationA 46-year-old man reported experiencing precordial discomfort. Computed tomography revealed a massive tumor adjacent to the right ventricle. The right coronary artery was found to be located at the center of the tumor. Cardiovascular angiography showed that the artery was completely encased by the tumor without any obstruction and that the right ventricular lumen was compressed by the tumor. Surgical debulking of the tumor was performed under cardiopulmonary bypass, and the frozen section led to a diagnosis of benign hemangioma. The tumor was debulked as much as possible until the right coronary artery appeared. For decompression of the heart, the pericardium was left open to the thoracic cavity and unsutured. Histopathologic examination revealed a diagnosis of epicardial venous hemangioma.ConclusionsCardiac hemangioma should be included in the differential diagnosis of mediastinal tumor in reference to the location and flow of the coronary artery. Surgical resection, or at least tumor debulking, is required to confirm the diagnosis and prevent further complications and has a favorable clinical outcome.

Myocardial contrast echocardiography in the diagnosis of a left ventricular hemangioma

Myocardial perfusion contrast echocardiography is an imaging tool for the assessment of myocardial microcirculation. It can also be used for the evaluation of the relative perfusion of a cardiac mass. Cardiac hemangiomas are rare tumors, accounting for only 2.8% of all benign primary cardiac tumors. We report a case of a 17-year-old man with a left ventricular hemangioma detected with transthoracic echocardiography. Myocardial perfusion contrast echocardiography was used to evaluate the vascularity of the cardiac mass. Using this technique malignant and hypervascular (<em>e.g</em>., hemangioma) tumors display persistence of contrast enhancement compared to the surrounding myocardium. The mass was successfully removed and the final report from pathology showed that the left ventricular mass was a hemangioma, a hypervascular tumor

Cardiac haemangioma: A contemporary review of 152 tumours published between 1996–2014

Cardiac haemangioma: A contemporary review of 152 tumours published between 1996–2014

Enucleation of Atrial Cardiac Hemangioma

Enucleation of Atrial Cardiac Hemangioma

Resection of a cardiac hemangioma in a patient with chest pain

This is a case of a 77-year-old woman who presented complaining of chest pain and was found to be secondary to a mass in her left atrial appendage (LAA). The patient underwent complete surgical excision of the 4.5 cm mass and the pathology report revealed a cardiac hemangioma. Her postoperative clinical course was uneventful and she was discharged in good condition and chest-pain-free.

A rare cardiac haemangioma in the right ventricle diagnosed accurately using18F-fluorodeoxyglucose-positron emission tomography: Figure 1:

A right ventricular cardiac tumour was incidentally detected in a 61-year-old man during a preoperative examination for coronary artery bypass grafting (CABG). Findings on computed tomography and magnetic resonance imaging suggested the differential diagnoses of myxoma, haemangioma and haemangiosarcoma, and it was difficult to identify whether the tumour was benign or malignant. (18)F-fluorodeoxyglucose-positron emission tomography strongly suggested a benign tumour. We enucleated the tumour, because an intraoperative frozen section also strongly suggested a benign origin. After resection, CABG under cardiopulmonary bypass was performed. Histopathological and immunohistochemical analysis indicated a cavernous haemangioma without evidence of malignant tissue. The patient has survived 20 months after surgery with no evidence of tumour recurrence.

Multimodality imaging of a silent cardiac hemangioma

A 74-year-old man underwent echocardiographic exam for hypertension screening. A fixed plurilobulated mass originating from the right ventricular lateral wall and occupying half of the cavity was incidentally diagnosed. On cardiac magnetic resonance (CMR) it appeared homogeneous, intermediate-to-high signal on T1-weighted, and diffusely hyperintense on T2-weighted images. First pass enhancement was late and heterogeneous and no late gadolinium enhancement was present. Computed tomography (CT) showed no extracardiac infiltration, the feeding artery was a branch of therightcoronary artery. The tumor was excised and histological examination demonstrated a hemangioma of the cavernous type. The postoperative course was uneventful. From 1998 to 2014, four cardiac hemangiomas have been diagnosed in our Department, accounting for 8.7% of all primary cardiac tumors and for 9.5% of all benign forms; estimated population prevalence was 0.11/100.000 inhabitants/year. The hemodynamic consequences of unoperated cardiac hemangiomas cannot be predicted and therefore, resection is recommended.

Cardiac Haemangioma: a contemporary review of 152 tumours published between 1996-2014

This abstract has been withheld from publication

Cardiac hemangioma, a rare tumor

Primary cardiac tumors are extremely rare and hemangiomas account for less than 2 %. We present a case of cardiac hemangioma in the left ventricle in a male patient which was detected incidentally on routine health check up.

Cardiac Hemangioma of RVOT in a Patient with Atypical Chest Pain.

A 40-year-old man presented with atypical chest pain and fatigue from 15 days ago a suspicious mass in the right ventricle based on a bed side transthoracic echocardiography. Preoperative diagnosis of a cardiac hemangioma comes to mind in a minority of cases. In our case, a cardiac tumor was diagnosed and the vascular nature of the tumor was suggested by vascular blush on the coronary angiography. In addition, right ventriculotomy was the approach of choice in our case because of its inaccessibility and its particular location.

A cardiac hemangioma treated by a right minithoracotomy approach with thoracoscopic assistance

Cardiac hemangiomas are extremely rare tumors, accounting for only 2.5% of all cardiac tumors. Most of these develop in the ventricles, and obtaining a good field of view is, therefore, the key to successful operation. A 40-year-old female visited a local hospital due to palpitation. Transthoracic echocardiography revealed a spherical high-echo mass (13.5 × 10.7 mm in diameter) between the papillary muscles. She was referred to our hospital to undergo close examination. Cardiac contrast-enhanced magnetic resonance imaging was performed to differentiate between malignant and benign lesions. However, this did not provide any findings leading to a definite diagnosis. To make a diagnosis and prevent embolism, the mass was excised using a right minithoracotomy approach with thoracoscopic assistance. The post-operative pathological diagnosis was a cardiac capillary-cavernous hemangioma. A right minithoracotomy approach combined with thoracoscopy allowed accurate evaluation of the mass in the left ventricle beyond the mitral valve and its accurate excision.

Right Ventricular Outflow Tract Obstruction by a Pedunculated Cardiac Hemangioma: A Rare Case of Syncope

Right Ventricular Outflow Tract Obstruction by a Pedunculated Cardiac Hemangioma: A Rare Case of Syncope

Cardiac cavernous haemangioma: diagnosis and treatment

Cardiac cavernous haemangioma: diagnosis and treatment

A case of cavernous hemangioma in the right ventricular outflow tract

Primary cardiac tumors are very rare and myxomas constitute most of them. Hemangiomas are even rarer. As most of cardiac hemangiomas are asymptomatic, they are generally incidentally detected in postmortem examination or imaging studies. Echocardiography is the preferred imaging modality for the clinical diagnosis in symptomatic patients, while the definitive diagnosis is based on histopathological examination. Treatment is surgical excision of the tumor. As there is a risk of recurrence for incompletely resected tumors, particularly, postoperative follow-up is necessary. In this article, we report a rare cardiac cavernous hemangioma case with remarkable features including symptomatic profile of the patient, localization of the tumor in the right ventricular outflow tract and its macroscopic appearance mimicking myxoma. The patient is followed uneventfully.

Successful Detection and Surgical Treatment of Cardiac Hemangioma With Right Ventricular Invasion

Cardiac hemangiomas are extremely rare benign tumors. These tumors are usually asymptomatic but they can present symptoms such as palpitations, shortness of breath, and arrythmia. We report the case of a 73-year-old man who presented with an abnormal shadow on chest computed tomography during follow-up for lung metastatic tumor after resection of his rectal cancer. A cardiac tumor was detected, and surgical resection and right ventricular plasty were successfully performed with the patient under cardiopulmonary bypass. Histopathologic examination revealed a benign cardiac hemangioma, which was categorized as a hemangioma of the mixed cavernous and capillary type.

Large mobile hemangioma arising from interatrial septum which mimicks mitral stenosis

Cardiac hemangioma is extremely rare and accounts for 2.8% of all detected benign heart neoplasms. In this article, we described the large hemangioma originating from interatrial septum and mimicking mitral stenosis. Opposite of myxoma, cardiac hemangioma mimicking mitral stenosis has not been previously reported in the English literature. The mass which was pathologically diagnosed as cavernous hemangioma was removed surgically. The postoperative course was uneventful. No recurrence of the tumor was noted at six months after operation.

Cardiac capillary hemangioma: A case report and brief review of the literature

Among primary cardiac tumors, hemangiomas are relatively rare, with a reported incidence of 2.8%. To date, less than 100 cases have been reported in literature. We report the case of a 61-year-old woman who complained from chest discomfort since 3 years and in whom transthoracic echocardiography revealed a pedunculated tumor in the left ventricle. The tumor was successfully resected and its histopathological examination revealed a capillary hemangioma. The patient had an uneventful recovery without any complication.

A rare case of a left atrial hemangioma mimicking a myxoma

A 68-year-old gentleman presented with a recent history of exertional dyspnea associated with anginal chest pain. Transthoracic echocardiography revealed a well-circumscribed mass in the left atrium attached to the inter-atrial septum. A provisional diagnosis of left atrial (LA) myxoma was made. Coronary angiography revealed significant single-vessel disease. The patient underwent coronary artery bypass grafting and resection of the LA tumor. The histopathological diagnosis of the tumor came out to be a cardiac hemangioma.

Large Hemangioma in a Persistent Left Superior Vena Cava

Cardiac hemangiomas represent 1 to 2% of all detected benign heart tumors. Tumors in the coronary sinus have been reported; however, to our knowledge, there have been no reports of masses in a persistent left superior vena cava. We report here the first case of a 58-year-old man with a rare huge unicamerate cardiac hemangiomas in a persistent left superior vena cava. A communication vein between the coronary sinus and hemangiomas could be identified, and thrombus formation was found in the hemangiomas as well.

Resection of a giant cardiac hemangioma

We present a case of a 61-year-old female who underwent excision of the mass within left atrial appendage. She underwent cardiac surgery due to cardiac tumor. The tumor was measured 6cm, and it was completely resected. After surgery, pathological examination diagnosed endocardiac-based cardiac hemangioma. The post operative course was uneventful and the patient discharged on the 18th postoperative day.