Cavernous hemangioma of the heart in a 37‑year‑old male visualized by multislice computed tomography (MSCT) (RCD code: VI‑1B.4)

Malgorzata Konieczyńska, Katarzyna Stopyra-Pach, Małgorzata Urbańczyk‑Zawadzka, Robert Banyś

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Abstract


A 37‑year‑old male with a 6‑month history of atypical nonexertional chest pain and markedly limited exercise capacity was referred for evaluation to our department. He had no previous medical history. There were no pathology in physical examination and laboratory tests. Standard ECG revealed inverse T‑waves in leads I and aVL, and 1st degree atrio‑ventricular block. Chest X‑ray demonstrated a tumor‑like structure on the left cardiac contour. Echocardiography revealed a large echolucent tumor adjacent to the lateral wall of the left ventricle. CT chest topogram was consistent with a large oval tumor on the left demarcation of the heart. Contrast‑enhanced coronary study showed a cystic tumor (75x80x80mm) located in the epicardium of the left ventricle and separated from the myocardium.
The mid portion of the left anterior descending coronary artery (LAD) was located well within the tumor. Coronary angiography showed no coronary artery disease but significant modeling of a large portion of LAD on the tumor mass. Surgical resection of the mass was performed.
Histopathologic examination revealed cavernous hemangioma, a rare primary heart tumor. The patient was discharged in good condition and was found symptom‑free 6 months later. JRCD 2013; 1 (5): 14–16


Keywords


Cardiac tumor, hemangioma, multislice computed tomography

References


McAllister HA. Tumors of the heart and pericardium. In: Silver MD (ed.). Cardiovascular pathology. Churchill Livingstone, New York 1983; 909-943

Serri K Schraub P, Lafitte S, Roudaut R. Cardiac hemangiomas presenting as atypical chest pain, Eur J Echocardiogr. 2007;8(1):17-18

Murthy A, Jain A, Nappi AG. Tumor blush: left ventricular cardiac hemangioma with supply from both the left anterior descending and circumflex arteries. J Invasive Cardiol. 2012;24(3):138-9

González López MT, Aranda Granados PJ, Delange Segura L, Gutiérrez de Loma J. An unexpected left atrial cavernous hemangioma: the cardiac surgeon needs an optimal preoperative study! Interact Cardiovasc Thorac Surg. 2011;13:529-31

Yuan SM, Shinfeld A, Kuperstein R, Raanani E. Cavernous hemangioma of the right atrium. Kardiol Pol. 2008;66:974-6

Ouerghi S, Youssef AB, Ouechtati W, Zidi A, Mezni F, Belhani A, Kilani T. Cardiac cavernous haemangioma. Heart Lung Circ. 2011 Mar;20(3):197-201

Cunningham T, Lawrie GM, Stavinoha J Jr, Quinones MA, Zoghbi WA. Cavernous hemangioma of right ventricle: echocardiographic-pathologic correlates. J Am Soc Echocardiogr. 1993;6(3 Pt 1):335-340

Palmer TE, Tresch DD, Bonchek LI. Spontaneous resolution of a large, cavernous hemangioma of the heart. Am J Cardiol 1986;58:184-185

Colli A, Budillon AM, DeCicco G, Agostinelli A, Nicolini F, Tzialtas D, Zoffoli G, Corradi D, Maestri R, Beghi C, Gherli T. Recurrence of a right ventricular hemangioma. J Thorac Cardiovasc Surg 2003; 126: 881-883

Chalet Y, Mace L, Frac B, Neveux JY, Lancelin B. Angiosarcoma 7 years after surgical excision of histocytoid haemangioma in the left atrium (Letter). Lancet 1993; 341: 1217.




DOI: http://dx.doi.org/10.20418%2Fjrcd.vol1no5.39

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