Abstract
Abstract
Background
Cardiac cavernous hemangiomas are extremely rare and usually difficult to be diagnosed for being asymptomatic.
Case presentation
An asymptomatic 56-year-old woman was hospitalized due to a heart mass found by chest computed tomography (CT) during her annual physical examination. Coronary computed tomography angiography (CTA) disclosed a tumorous lesion, located in the left atrial roof and extended to the posterior wall of the aortic root and surrounding the left main coronary artery. However, there was no communicating branches between the hemangioma and coronary artery and no coronary artery stenosis. The tumor was excised with low-frequency electrocautery under cardiopulmonary bypass. The histopathological examination indicated the mass a cavernous hemangioma. The patient was discharged with an uneventful recovery.
Conclusions
Here we presented a rare case of successfully excision of a cavernous hemangioma involving the left atrial roof and left coronary artery. We advocate adequate exposure and complete surgical excision with low-frequency electrocautery to avoid remnants and excessive resection.
Publisher
Springer Science and Business Media LLC
Subject
Cardiology and Cardiovascular Medicine,General Medicine,Surgery,Pulmonary and Respiratory Medicine
Reference8 articles.
1. Thomas JE, Eror AT, Kenney M, Caravalho J Jr. Asymptomatic right atrial cavernous hemangioma: a case report and review of the literature. Cardiovasc Pathol. 2004;13(6):341–4 https://doi.org/10.1016/j.carpath.2004.09.001.
2. Burke A, Virmani R. Vascular tumors and tumor-like conditions. In: Atlas of tumor pathology. Tumors of the heart and great vessels. Burke A, Virmani R, editors. Washington, DC: Published by the Armed Forces Institute of Pathology; Be-thesda, MD; 1996. p. 79–90.
3. Patel J, Sheppard MN. Sudden death owing to right atrial hemangioma. J Forensic Sci. 2011;56(2):529–30 https://doi.org/10.1111/j.1556-4029.2010.01667.x.
4. Novitzky, D., Guglin, M., & Sheffield, C. (2009). Cardiac autotransplantation for removal of left atrial hemangioma and a review of the literature. In the heart surgery forum (Vol. 12, no. 5, pp. E279-84). https://doi.org/10.1532/HSF98.20091027
5. Matsumoto Y, Watanabe G, Endo M, Sasaki H. Surgical treatment of a cavernous hemangioma of the left atrial roof. Eur J Cardiothorac Surg. 2001;20:633–5 https://doi.org/10.1016/s1010-7940(01)00856-9.
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