Cardiac Hemangioma Research Articles

Left atrial hemangioma excision using minimally invasive endoscopic technique: a case report

Cardiac hemengioma’s are rare tumors and their management through minimally invasive endoscopic technique is not well documented. A 64-year-old lady presented with a history of worsening shortness of breath and arrhythmias. She was known to have hypertension, morbid obesity and chronic obstructive lung disease. Further investigations revealed a left atrial tumor, which was confirmed on coronary angiography by a “tumor blush”. Surgery was performed for this suspected vascular tumor through right mini thoracotomy using minimally invasive endoscopic techniques and histology confirmed it as a hemangioma. Although cardiac hemangiomas are rare, the same minimally invasive strategies that have been developed tackling the more common cardiac tumors can be applied successfully.

F-18 FDG PET/CT Uptake by a Cardiac Hemangioma

F-18 FDG PET/CT Uptake by a Cardiac Hemangioma

Cardiac Hemangioma of the Left Atrial Appendag: A Case Report and Discussion

Cardiac hemangioma is an extremely rare, benign vascular tumor of the heart. In contrast to myxoma, hemangioma rarely involves left atrial tissue in adults and little information about the tumor is available. We encountered a 65-year-old woman with a left atrial hemangioma arising in the appendage and growing like an extracardiac mass. The tumor was removed from the left atrium with all the left appendage under cardiopulmonary bypass. Histopathological examination revealed that it was a cavernous-type hemangioma. Among the five described cases, this case was the only one in which the tumor arose from the appendage and grew into the pericardial cavity with resultant paroxystic atrial fibrillation.

Enormous Right Atrial Hemangioma in an Asymptomatic Patient: A Case Report and Literature Review

We report the case of an enormous right atrial hemangioma in an asymptomatic 42-year-old woman. The diagnosis was made by echocardiogram after the patient was found to have an abnormal EKG during a routine medical exam. The hemangioma is the largest described in English literature. The tumor was surgically resected and the patient did well postoperatively. In this case report, we discuss the discovery of the tumor and treatment of our patient. A brief discussion of cardiac hemangiomas follows.

Surgical repair in neonatal life of cardiac haemangiomas diagnosed prenatally

Although cardiac tumours are rare, such tumours are increasingly being diagnosed with increasing frequency and great accuracy by antenatal ultrasound. Cardiac haemangiomas account for less than one-twentieth of all primary cardiac tumours, with most being diagnosed in the neonatal period. We report 3 instances of successful neonatal resection of cardiac haemangioma subsequent to prenatal diagnosis. Such diagnosis is important in perinatal management, since early surgical intervention provides a good prognosis.

Cardiac hemangioma in the left ventricle and brief review of the literature

Cardiac hemangiomas are very rare benign cardiac tumors. They can present at any age and clinical presentation varies according to location and size. Most common symptoms include shortness of breath, palpitations, atypical chest pain and arrhythmia. The natural history of these tumors is unpredictable. They can regress, cease growing or proliferate over time. Diagnosis is usually made with echocardiography and surgical resection is the treatment of choice. Follow-up is recommended to identify any recurrence. We report a case of a 38-year-old man who presented with fatigue and palpitations. Echocardiography revealed a mobile spherical mass within the left ventricle, whereas left ventriculography showed an intracavity-filling defect without any tumor blushing. The tumor was removed surgically through the left atrium. It was a smooth oval nodule with a pedicle that was attached to the top of a papillary muscle. Microscopy revealed the presence of numerous vessels within fibrous tissue that ranged from lobules of capillary hemangioma to large thin-walled cavernous vessels, compatible with a hemangioma of mixed capillary-cavernous type. The patient had an uneventful postoperative course and recovered quickly.

Cavernous hemangioma of the mitral valve: a case report and review of literature

Cardiac hemangiomas are rare cardiac tumors with fewer than 50 surgically treated cases reported in the literature. Incidence of valvular hemangiomas is extremely low, as cardiac valves are predominantly avascular structures. In this case report, we describe a 33-year-old woman who presented with progressively worsening cardiovascular symptoms. Echocardiography revealed a mitral valve mass for which she underwent surgical resection and mitral valve replacement. Histological examination of the mass revealed cavernous hemangioma of the mitral valve. Postoperative course was uncomplicated, and the patient's symptoms improved after surgery. Surgical excision of valvular hemangiomas appears to be curative in most cases and is the treatment of choice. Periodic echocardiographic follow-up is advised for early detection of tumor recurrence.

Cardiac hemangioma presenting with neurological manifestations

Primary cardiac tumors are rare. Hemangiomas represent about 5%-10% of benign cardiac tumors. Hemangiomas can be found in any heart chamber, but atria have been more frequently involved. Ventricular involvement is uncommon. Hemangiomas may have various presentations, but there have been few reports about neurological manifestations of such tumors in the English-language literature. We present a patient with a left ventricular hemangioma who presented with leftsided weakness and sudden onset of slurred speech.

Multisided Cardiac Hemangiomas Mimicking Biatrial Thrombus: Atypically Located Cardiac Hemangiomas of Left Atrial Appendage and Right Atrium

Hemangiomas are rare benign tumors of the heart. Clinical presentation is highly variable according to the location, size, and extension of the tumor. Hemangiomas have been described in all cardiac chambers, but most occur on the right side of the heart and in the left atrium. Although diagnosis is typically made by echocardiography, the definite diagnosis can be made with certainty only from a very careful histopathologic examination. The authors report a case of atypically located hemangiomas originating from the left atrial appendage and right atrium in a 71-year-old woman who presented with ischemic stroke. Transthoracic and transesophageal echocardiography demonstrated an elongated left atrial mass originating in the atrial appendage and extending well into the left atrium to the mitral orifice, as well as a right atrial mass and intense biatrial spontaneous echo contrast. It was unclear whether the masses represented thrombus or an unusually located atrial tumor. Immunohistologic examinations revealed a biatrial cavernous hemangioma with no signs of malignancy.

Hemangioma of the right atrium: imaging and pathology

Cardiac hemangiomas are benign neoplasms which have been reported to appear as well-circumscribed, homogenous, enhancing masses at imaging. We report a 49-year-old woman with a cardiac hemangioma detected by echocardiography, computed tomography, and magnetic resonance imaging. The multiple imaging modalities showed features which have been reported in cardiac hemangiomas. The tumor was surgically excised and the diagnosis of cardiac hemangioma was made. Cardiac hemangiomas are rare tumors with a variety of imaging features which may suggest the diagnosis.

A case of the cardiac hemangioma revealed by ultrasound cardiogram

A case of the cardiac hemangioma revealed by ultrasound cardiogram

Sudden death in adolescence caused by cardiac haemangioma

Primary tumors of the heart in infants and children are rare. The types of heart tumors in pediatric age groups are generally different from those in adults. Cardiac myxoma is by far the most common tumor in adults, but in infants and adolescents the prevalent tumor of the heart is rhabdomyoma. Among benign cardiac tumors, cardiac hemangiomas are rare and often diagnosed post-mortem due to the lack of specific clinical symptoms and signs. We report a case of sudden death due to cardiac hemangioma in an apparently healthy 15-year-old adolescent. The autopsy revealed a cardiac hemangioma located at the apex of the heart; the histopathological examination showed the tumor was a mixed capillary and arteriolar hemangioma, a very rare type of primary tumor in adolescents.

Left Ventricular Cardiac Hemangioma Presenting With Atypical Chest Pain

A 54-year-old male patient presented with atypical chest pain and exertional dyspnea. The physical examination and chest x-ray were unremarkable; the ECG showed sinus rhythm with left-axis deviation and a pathological Sokolow-Index with concomitant ST-depression in leads I, aVL, and V5–V6. Transthoracic echocardiography revealed the presence of a homogenously echodense, mobile left ventricular mass (dimensions: 15×12 mm) attached to the intraventricular septum (Figure, E). Cardiac magnetic resonance imaging was performed for tissue characterization: On T1-weighted imaging (Figure, A), the mass was isointense compared with the left ventricular myocardium, whereas on T2-weighted imaging (Figure, B), homogeneously bright signal intensity was found. No signs of infiltrative growth were seen. During first-pass infusion of a gadolinium-containing contrast agent, no relevant signal intensity increase could be detected; however, on postcontrast imaging (delayed enhancement technique), some contrast agent uptake was detected. Figure. A, T1-weighted imaging with fast-spin echo and blackblood suppression in 4-chamber view. The tumor has an intermediate signal …

A pedunculated left ventricular hemangioma initially misdiagnosed as thrombus in a woman with atypical chest pain

The incidence of cardiac masses increased as echocardiography is becoming increasingly popular. Benign tumors of the heart constitute about 72% of all primary cardiac neoplasms and hemangioma accounts for 5-10% of benign cardiac tumors. Cardiac hemangiomas are generally asymptomatic and diagnosed incidentally during echocardiography or magnetic resonance imaging (MRI). We reported a 52-year-old woman presented with atypical chest pain and exertional dyspnea. The echocardiographic examination revealed a hyperechoic round mass in the left ventricle. With an initial diagnosis of left ventricular thrombus, the patient underwent cardiac MRI. The mass was found compatible with cardiac hemangioma. It was removed surgically and histopathologic evaluation identified a cardiac hemangioma. As reports of cardiac hemangioma are extremely rare and cardiac masses are mostly thought to be thrombi or myxomas (being the most common primary cardiac tumor), such hemangioma cases warrant attention as possibility of hemangioma should also be kept in mind.

Intramuscular hemangioma in the right ventricle

Intramuscular cardiac hemangiomas are extremely rare. We describe a 74-year-old man with a tumor occupying the apex of the right ventricle that was incidentally diagnosed by echocardiography. Computed tomography and coronary angiography showed that the tumor arose from the ventricular septum and that the feeding artery was a branch of the right coronary artery. The tumor was completely excised, and the postoperative course was uneventful. Histological examination revealed that the tumor was a cardiac hemangioma (intramuscular type). To our knowledge, this is only the second case report of an intramuscular cardiac hemangioma in the world literature.

A Right Atrial Hemangioma Mimicking Thrombus In A Patient With Atrial Arrhythmias

Cardiac hemangiomas are rare tumors, accounting for only 2.8% of all benign primary cardiac tumors and occur at any age. Clinical presentations vary depending on the tumor location (myocardial, endocardial or pericardial). In many cases, this may be an incidental finding. We report the case of a patient with paroxysmal atrial fibrillation who had a right atrial hemangioma detected with transesophageal echocardiography prior to having percutaneous pulmonary vein isolation performed

Cardiac tumor masquerading as obstructive sleep apnea syndrome

We report a case of a large right atrial hemangioma masquerading as a clinical presentation of obstructive sleep apnea syndrome (OSAS) in a 57-year-old man, who was wrongfully treated with nocturnal continuous positive airway pressure (CPAP) prior to surgical consultation. The exact diagnosis was made during the investigation for his cardiac arrhythmia. A large right atrial tumor obstructing the tricuspid valve intermittently was noted on cardiac echocardiography. His symptoms became worse when the patient was lying flat. Tumor excision under cardiopulmonary bypass was carried out, which confirmed the preoperative finding of cardiac hemangioma. The patient underwent uneventful recovery postoperatively and the symptoms of OSAS settled after surgery. To our knowledge, this is the first reported case of right atrial tumor masquerading as a clinical presentation of OSAS.

Cardiac Hemangioma: Features on Cardiovascular Magnetic Resonance

We present a case of cardiac capillary hemangioma in a patient who presented with a history of recurrent episodes of syncope. Cardiovascular magnetic resonance played an important role in the diagnosis of cardiac hemangioma in our patient.

Cardiac Hemangioma of the Left Atrial Appendage Associated with Hepatic Hemangiomas: The CT and Coronary Angiographic Findings

Cardiac hemangioma is a rare benign tumor of the heart. We report here on a case of cardiac hemangioma that originated from the left atrial appendage; this was observed on the CT and coronary angiographic findings and the lesion was pathologically proved.

Cardiac Spindle Cell Hemangioma: A Case Report

Spindle cell hemangioma is an uncommon vascular lesion histologically resembling a cavernous hemangioma and Kaposi's sarcoma with a predilection for the extremities. There are no radiologic reports concerning cardiac spindle cell hemangioma in the current literature. We report here a case of cardiac spindle cell hemangioma.