Imminent fetal cardiac
tamponade by right atrial hemangioma.Pediatr
Cardiol. 2006 Sep-Oct;27(5):633-5. Epub 2006 Aug 30.
A fetus presented with
a large pericardial effusion caused by a right atrial transmural tumor.
Correct prenatal diagnosis by use of targeted fetal echocardiography
indicated that treatment was not required until the gestational age of 36
weeks. At that time, cesarean section was performed because early signs of
imminent cardiac tamponade developed ("swinging heart"). At birth, the
pericardial effusion was drained with a percutaneous drain. Elective
surgical resection was performed on day 6 of life. Histologically, the tumor
was a benign capillary hemangioma.
Cardiac cavernous hemangioma.Eur
J Echocardiogr. 2007 Dec;8(6):487-9. Epub 2006 Aug 28.
Among primary cardiac
tumors, hemangiomas are relatively rare with a reported incidence of 2.8%.
To date, less than 100 cases are reported in literature. We present a
40-year-old woman with atypical chest discomfort of 1 month duration,
previous history of glomus tumor of hand and a large cavernous hemangioma of
right atrium.
Rapid-growing left intraventricular cardiac hemangioma.
J Am Soc Echocardiogr. 2006 Jul;19(7): 939.e5-7.
A 62 years old man with
Child B liver cirrhosis, prostate cancer and a recent colon carcinoma
resection was referred to our cardiology department for
trans-thoracic-echocardiography (TTE) in order to establish left ventricular
function before starting chemotherapy. TTE revealed a mobile mass (16 x 8
mm) attached to the anterior-medial left ventricular wall, protruding and
swinging within the left ventricle cavity. At follow-up TTE showed growing
of the intra-cardiac tumor up to 27 x 10 mm, corresponding to a size
increase of 1 mm/month. Among different pathologies a rapid growing benign
tumor with a high risk of systemic embolisation or an endocardial blood cyst
were retained as possible diagnoses. Given the progression of the cardiac
finding and the patient's improved general condition, surgical resection of
the cardiac mass was performed. Histological examination revealed a mixed
capillary/cavernous hemangioma. This case shows the unusual concomitant
appearance of a rapid growing cavernous hemangioma which rarely located at
ventricular level and the feasibility of cardiac resection without further
sequelae in a poly-morbid patient. |
