Noncomplicated Excision of a Mobile Pedunculated Septal Hemangioma of the Left Ventricle

BACKGROUND Cardiac tumors are quite rare, and differential diagnosis of them is challenging. CASE REPORT A young lady with a history of palpitations, dyspnea, and fatigue was proven by transthoracic echocardiography and cardiac magnetic resonance imaging to have a mobile left ventricular mass with r...

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Bibliographic Details
Published in:The American journal of case reports 2016-07, Vol.17, p.462-465
Main Authors: Mazen, Mahmoud, Abdelgawad, Ahmed, El-Shemy, Ahmed, Ramadan, Mona, Al-Batrek, Hani, Mahdi, Ousama, Ramadan, Mahmoud M
Format: Article
Language:English
Subjects:
Adult
Cardiac Surgical Procedures - methods
Diagnosis, Differential
Echocardiography, Transesophageal
Female
Heart Neoplasms - diagnosis
Heart Neoplasms - surgery
Heart Septum
Hemangioma - diagnosis
Hemangioma - surgery
Humans
Magnetic Resonance Imaging, Cine
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Summary:BACKGROUND Cardiac tumors are quite rare, and differential diagnosis of them is challenging. CASE REPORT A young lady with a history of palpitations, dyspnea, and fatigue was proven by transthoracic echocardiography and cardiac magnetic resonance imaging to have a mobile left ventricular mass with rounded contour attached to the mid-part of the interventricular septum. The mass was approached via a posterior inter-atrial approach to avoid left ventriculotomy and provide adequate exposure to completely excise the tumor and control its pedicle with minimal cardiac trauma. Histological examination of the mass was diagnostic of capillary and sinusoidal hemangioma. CONCLUSIONS Complete excision of cardiac hemangioma is recommended once it is diagnosed, for histopathologic diagnosis and because of the possibility of serious complications.
ISSN:1941-5923
1941-5923
DOI:10.12659/AJCR.897272