| A case
report of a round cystic tumor in the left ventricular outflow tract.
J Am Soc Echocardiogr. 2006 Nov;19(11):1402.e9-1402.e11.
We report a case of a
patient who was admitted to our hospital complaining of angina pectoris. On
auscultation, a systolic ejection murmur was heard at the right upper
sternal border. Transthoracic echocardiography displayed regional wall
motion abnormalities and detected a mobile mass in the left ventricular
outflow tract, causing mild obstruction during systole. The mass appeared as
an unilocular cystic tumor. Coronary angiography showed a significant lesion
in the left anterior descending artery. Surgical treatment was indicated for
coronary artery disease and for the unpredictable behaviour of the neoplasm.
The mass was identified as arising from the top of the anterior papillary
muscle. Histopathological examination revealed that the tumor was a
cavernous hemangioma. Cardiac hemangiomas are rare, benign vascular tumors
of the heart. This is an unusual case of left ventricular hemangioma
incidentally discovered, which raised an interesting differential diagnosis.
Cardiac hemangioma of the
right atrium.
Eur J Echocardiogr. 2008 Jan;9(1):52-3.
Primary cardiac
tumors are rare, with an incidence range between 0.001% and 0.030% at
autopsy. Recent technical advances have facilitated diagnosis and surgical
treatment of such lesions. Patients with a resectable tumor usually have a
good prognosis, but patients with an unresectable tumor may have a poor
prognosis. This report shows a case of right atrial hemangioma growing like
an extracardiac mass, with cardiac tamponade the only clinical presentation. |
