Abstract:We are describing two-dimensional and live/real time three-dimensional transthoracic as well as two-dimensional transesophageal echocardiographic findings in an elderly patient with epithelioid hemangioma involving the anterior leaflet of the mitral valve.
“…The unique feature in our case was a highly mobile LV tumor seen on echocardiography giving a superficial impression of a myxoma. However, careful cropping of 3D datasets revealed densely packed small echolucent spaces which uniformly extended all the way to periphery . This feature indicated the presence of hemangioma rather than a myxoma in which the echolucent spaces are generally sparse, of variable sizes and do not extend to the periphery (movie clip S4: myxoma; Fig.…”
Section: Discussionmentioning
confidence: 99%
“…Extensive PubMed search did not show any previously published report on 3D echo features of LV hemangioma. The first detailed report on 3D echo findings of epitheloid hemangioma of the mitral valve and its differentiation from myxoma was by Dod et al …”
We report a case of a pedunculated, hypermobile LV mass, which was evaluated by 2D as well 3D transthoracic echocardiography (TTE). A presumptive diagnosis of cardiac hemangioma was made based on 3D cropped images. This was later confirmed on histopathology as well as histochemical staining.
“…The unique feature in our case was a highly mobile LV tumor seen on echocardiography giving a superficial impression of a myxoma. However, careful cropping of 3D datasets revealed densely packed small echolucent spaces which uniformly extended all the way to periphery . This feature indicated the presence of hemangioma rather than a myxoma in which the echolucent spaces are generally sparse, of variable sizes and do not extend to the periphery (movie clip S4: myxoma; Fig.…”
Section: Discussionmentioning
confidence: 99%
“…Extensive PubMed search did not show any previously published report on 3D echo features of LV hemangioma. The first detailed report on 3D echo findings of epitheloid hemangioma of the mitral valve and its differentiation from myxoma was by Dod et al …”
We report a case of a pedunculated, hypermobile LV mass, which was evaluated by 2D as well 3D transthoracic echocardiography (TTE). A presumptive diagnosis of cardiac hemangioma was made based on 3D cropped images. This was later confirmed on histopathology as well as histochemical staining.
“…Initial cropping of the 3D datasets in an anteroposterior direction demonstrated a heterogenous pattern similar to 2DTTE and 2DTEE but cropping of the anterior and mid portions of the mass revealed multiple closely packed echolucent areas that extended all the way to the periphery. These findings which were not seen on 2DTTE or 2DTEE in this patient have been previously described by 3D echocardiography as characteristic of cardiac hemangiomas . These represent vascular channels which are located throughout the tumor including the peripheral region.…”
Hemangiomas are rarely found in the heart and pericardial involvement is even more rare. We report a case of primary pericardial hemangioma, in which three-dimensional transesophageal echocardiography (3DTEE) provided incremental benefit over standard two-dimensional images. Our case also highlights the importance of systematic cropping of the 3D datasets in making a diagnosis of pericardial hemangioma with a greater degree of certainty. In addition, we also provide a literature review of the features of cardiac/pericardial hemangiomas in a tabular form.
“…They can be found in any age group, but occur most commonly in childhood. To our knowledge, less than 10 cases of mitral valve hemangiomas have been documented in the literature [3,4,5,6,7,8,9,10,11]. …”
Primary cardiac hemangioma is a very rare benign vascular tumor, with valvular hemangiomas being even less frequent as valves are generally avascular structures. We present the first case of mitral valve hemangioma in a renal transplant recipient. Patient presented with progressive dyspnea. Transesophageal echocardiogram (TEE) demonstrated a 0.8x0.9-cm pedunculated tumor mass on the posterior leaflet of the mitral valve. Coronary angiography identified a small artery which filled from the circumflex artery and fed the tumor. The tumor was surgically removed. Histopathological examination revealed a hemangioma. The postoperative course was uneventful with stable graft function.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.