Multifocal cardiac hemangioma

Vacirca, Sara Rita; Nardi, Paolo; Ferlosio, Amedeo; Orlandi, Augusto; Ruvolo, Giovanni

doi:10.1111/jocs.13719

Cited by 3 publications

(3 citation statements)

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“…We have described an unusual and rare case of a calcified thrombus, mimicking myxoma, 5,6 originating from the right atrium and inferior vena cava in patient without comorbidities and signs like pulmonary embolism, right heart failure, ascites, edemi, dyspnea, asthenia, cough, and undirect signs of compression or portal hypertension.…”

Section: Discussionmentioning

confidence: 99%

A rare case of a cardiac calcified thrombus originating from right atrium and inferior vena cava

et al. 2020

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Cardiac calcified thrombus is a rare non‐neoplastic cardiac mass that can present like an intra‐cardiac tumor. The finding of a calcified thrombus in the inferior vena cava is described in patients with permanent central venous line or in presence of recurrent pulmonary embolism. The aim of the study is to describe a rare case of cardiac calcified thrombus in patient without comorbidities. We report an extremely unusual case of a 73 year‐old woman with a calcified thrombus between the inferior cava and the atrium who was admitted to hospital for an incidental evidence of a heart neoformation mimicking a myxoma at an echocardiogram exam, totally asymptomatic performed as a screening test after thyroidectomy. Surgical removal of cardiac mass is fundamental both to achieve the correct diagnosis and to avoid thromboembolic risks or inferior vena cava occlusion. In a patient without serious comorbidities, surgical excision can be performed without major risks.

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Section: Discussionmentioning

confidence: 99%

A rare case of a cardiac calcified thrombus originating from right atrium and inferior vena cava

et al. 2020

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“…In our case, two hemangiomas were found in the right atrium. To our knowledge, this is the fourth report that presents multiple hemangiomas in the heart [ 11 – 13 ]. As explained above the most common form of cardiac hemangioma is cavernous hemangioma.…”

Section: Discussionmentioning

confidence: 99%

“…In this article, we report an interesting case of multiple cardiac cavernous hemangiomas located in the right atrium with concomitant rheumatic heart disease (RHD). Only three cases of multiple cardiac hemangiomas have been published previously [ 11 – 13 ]. At the same time, we did a literature review of cardiac hemangioma with a special focus on etiology.…”

Section: Introductionmentioning

confidence: 99%

Rheumatism as a cause of cardiac hemangioma: a rare case report and review of literature with special focus on etiology

Xie

Masroor

Chen³

et al. 2023

BMC Cardiovasc Disord

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Background Cardiac hemangioma is a very rare benign tumor of the heart which accounts for 1–2% of all primary cardiac tumors. Multiple cardiac hemangiomas are even rarer with only three cases published in the literature. Pathologically it can be divided into cavernous hemangioma, capillary hemangioma, arteriovenous hemangioma, mixed-type hemangioma, and so on. At present, the etiology of cardiac hemangioma is not completely clear. In this study, we present multiple cardiac hemangiomas located in the right atrium and discuss the new unreported possible cause (rheumatism) of cardiac hemangioma. This is the fourth case of multiple cardiac hemangiomas in the medical literature and the first time to present rheumatism as the cause of cardiac hemangioma. Case presentation A 53-year-old man presented to the clinic with intermittent chest tightness and shortness of breath for 2 years. On echocardiography, multiple soft tissue masses in the right atrium were found. The patient had rheumatic heart disease with severe mitral stenosis and moderate tricuspid regurgitation. Two masses with a diameter of about 20 mm and 15 mm were seen in the right atrium. One mass was located on the inferior margin of the fossa ovalis and the other was adjacent to the inferior vena cava. Both masses were successfully removed surgically. The mitral valve replacement and tricuspid valve plasty were performed at the same time. The postoperative histopathology results confirmed the diagnosis of cavernous hemangioma. Conclusion The occurrence of multiple hemangiomas in the heart is possible, especially in the presence of rheumatism. Rheumatism is one of the possible etiologies of cardiac hemangioma. Cardiologists and cardiac surgeons should be aware of its occurrence and should consider cardiac hemangioma as a differential diagnosis especially in rheumatic heart disease patients when they present with soft tissue cardiac masses for accurate management.

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Cardiac hamartoma

et al. 2018

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Hemangiomas and hamartomas of the left ventricle are benign solid tumors characterized by hypertrophied myocytes interwoven with vascular, fibrous, and fatty tissue. 1-5 A 44-year-old asymptomatic female was noted on a routine electrocardiogram to have biphasic T waves in V4-V6 and was referred for a transthoracic echocardiogram which revealed a 4 × 3-cm apical left ventricular mass (Figures 1A and 1B). A cardiac magnetic resonance study confirmed the presence of the mass, but its characteristics could not distinguish between a benign or malignant tumor (Figures 2A-C). A fluorodeoxyglucose positron emission tomogram revealed increased uptake only in the LV apex (Figure 3). A coronary angiogram demonstrated that the tumor was supplied by a branch from the left anterior descending (LAD) artery (Figure 4). Following institution of cardiopulmonary bypass (CPB) via ascending aorta and bicaval cannulation, the heart was arrested with cold, crystalloid cardioplegia. A left ventriculotomy was performed parallel to the LAD extending superiorly from the apex. The mass was located between the anterior apical septum and the anterolateral papillary muscle. The mass was totally excised and the defect was repaired with an autologous pericardial patch (Figure 5). TheFIGURE 1 Transthoracic echocardiography. A, Presence of iperechogenic left ventricular apical mass. B, Presence of color-Doppler signal inside the mass 640 |

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Multifocal cardiac hemangioma

Cited by 3 publications

References 1 publication

A rare case of a cardiac calcified thrombus originating from right atrium and inferior vena cava

A rare case of a cardiac calcified thrombus originating from right atrium and inferior vena cava

Rheumatism as a cause of cardiac hemangioma: a rare case report and review of literature with special focus on etiology

Cardiac hamartoma

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