Abstract:Cardiac tumors are relatively rare, with primary hemangiomas being a particularly rare benign neoplasm. Herein, we report a case of a symptomatic cardiac tumor detected via echocardiography in an 82-year-old woman. Although we performed advanced imaging examinations for her heart, we could not diagnose the tumor before surgery. Eventually, a tumor involving the left atrial roof was detected, and it was completely resected to relieve her symptoms and establish a precise diagnosis. Histopathological examination … Show more
“…According to pathology, a cardiac hemangioma can be classified into simple cavernous hemangioma, simple capillary hemangioma, arteriovenous hemangioma, and mixed type. In our literature review of cardiac hemangioma, cavernous hemangioma is the most common pathological type, which accounted for 58.5%, followed by simple capillary hemangioma, accounting for 9.2% [5] (Table 1).…”
Cardiac hemangiomas are very rare benign cardiac tumors. They can present at any age and clinical presentation varies according to location and size. We encountered an 87-year-old woman with a left atrial hemangioma clinically diagnosed as cardiac myxoma. Histopathological examination revealed that it was a cavernous-type hemangioma Left atrial hemangiomas, especially those attached to the left atrium wall, may be mistakenly diagnosed as myxomas. Furthermore, a comprehensive review of atrial hemangioma was conducted for the diagnosis and treatment of this uncommon entity.
“…According to pathology, a cardiac hemangioma can be classified into simple cavernous hemangioma, simple capillary hemangioma, arteriovenous hemangioma, and mixed type. In our literature review of cardiac hemangioma, cavernous hemangioma is the most common pathological type, which accounted for 58.5%, followed by simple capillary hemangioma, accounting for 9.2% [5] (Table 1).…”
Cardiac hemangiomas are very rare benign cardiac tumors. They can present at any age and clinical presentation varies according to location and size. We encountered an 87-year-old woman with a left atrial hemangioma clinically diagnosed as cardiac myxoma. Histopathological examination revealed that it was a cavernous-type hemangioma Left atrial hemangiomas, especially those attached to the left atrium wall, may be mistakenly diagnosed as myxomas. Furthermore, a comprehensive review of atrial hemangioma was conducted for the diagnosis and treatment of this uncommon entity.
“…[70][71][72] Hemangiomas, angiosarcomas and lymphomas usually show an inhomogeneous echogenicity with scattered echolucent areas (Figure 13). [73][74][75][76][77][78][79][80][81] The echogenicity of the tumors may change over time, following both chemotherapy and radiotherapy: chemotherapy may induce necrotic processes evident at echocardiography as anechoic areas; the F I G U R E 1 7 Left atrial sarcoma, with low echogenicity, hardly defined at standard TTE (A). 5 min after the injection of SonoVue, when the cardiac chambers are not anymore opacified, the echogenicity of the mass is enhanced (B and C).…”
Section: Tissue Characterizationmentioning
confidence: 99%
“… 70 , 71 , 72 Hemangiomas, angiosarcomas and lymphomas usually show an inhomogeneous echogenicity with scattered echolucent areas (Figure 13 ). 73 , 74 , 75 , 76 , 77 , 78 , 79 , 80 , 81 …”
Cardiac tumors may be primary (either benign or malignant) or secondary (malignant) and are first detected by echocardiography in most cases. The cardiologist often challenges their identification, the differential diagnosis and the best therapeutic approach. Malignant tumors have usually a poor prognosis, which may be significantly improved by appropriate and timely therapies. The echocardiographic aspects of benign and malignant cardiac tumors described in this article, along with a clinical evaluation may orient the differential diagnosis and aid in choosing the further steps useful to define the nature of the mass,
“…The feasibility of surgery was judged mainly by considering the size, attachment site, and growth rate of the atrial hemangiomas. 38) And the relationship between atrial hemangiomas and the heart conduction system and the coronary arteries may bring difficulties to surgery.…”
A primary cardiac tumor is a rare clinical entity which was reported an incidence of 0.03% in previous autopsy series. 75% cardiac tumors are cardiac myxoma and cardiac hemangiomas constitute only 1–2% of primary cardiac tumors. With the development of modern medical imaging technology and the enhancement of people’s health awareness, more and more asymptomatic cardiac hemangiomas were found and confirmed eventually. Here, we described a case of a 71-year-old man, who was hospitalized with intermittent palpitation for 1 year and a large mass of the heart was removed successfully via sternotomy which was confirmed as atrial hemangioma by postoperative histopathology. Furthermore, a comprehensive review of atrial hemangioma was conducted to date and a few recommendations for the diagnosis and treatment of this uncommon disorder were provided for clinicians.
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