Cardiac Hemangioma: A Comprehensive Analysis of 200 Cases

Li, Weidong; Teng, Peng; Xu, Hongfei; Ma, Liang; Ni, Yiming

doi:10.1016/j.athoracsur.2015.02.064

Cited by 91 publications

(146 citation statements)

References 61 publications

Supporting

Mentioning

141

Contrasting

Unclassified

Order By: Relevance

“…The natural evolution of cardiac hemangiomas is very unpredictable since they can manifest variously over time. There are only 200 cases of hemangiomas reported in the literature according to our review article in 2015; however, this is partly because some were misdiagnosed as thrombi or cardiac myxomas . Similarly, the initial preoperative diagnosis of our case was also challenging, because the existence of the cardiac thrombus surgical history, combined with the new neoplasm revealed by the echocardiogram, led us to believe that it was a myxoma, since this is the most common type of tumor in the heart .…”

Section: Discussionmentioning

confidence: 85%

Right atrium hemangioma in patient with history of mixed‐thrombus surgery

et al. 2019

Self Cite

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 85%

Right atrium hemangioma in patient with history of mixed‐thrombus surgery

et al. 2019

Self Cite

View full text Add to dashboard Cite

show abstract

“…Epithelioid‐capillary hemangioma of the heart has not been reported so far in children. Hemangioms are the so‐called histopathologically benign and clinically dangerous tumors with various presentation including sudden death, myocardial ischemia, stroke, embolization, syncope, arrhythmia, and ventricular outflow tract obstruction . Diffuse myocardial infiltration is another challenging characteristic of these tumors .…”

Section: Discussionmentioning

confidence: 99%

“…Diffuse myocardial infiltration is another challenging characteristic of these tumors . The right atrium is the most common location for fetal and neonatal CH, whereas the left ventricle is the most common site for CH in the adulthood . Hemangiomas have been reported in all age groups from 20 weeks of gestation to 86 years of age, with controversial sex predilection and controversial frequency in all four chambers of the heart .…”

Section: Discussionmentioning

confidence: 99%

Giant congenital right atrial epithelioid‐capillary hemangioma with prolonged QT interval: Case report and practical surgical treatment strategy for primary cardiac tumors in children based on 25‐year review of 299 cases

et al. 2018

View full text Add to dashboard Cite

Cardiac hemangioma is very rare and accounts for 2%-3% of the primary cardiac tumors. Cardiac epitheloid-capillary hemangioma has not been reported in the pediatric population so far. We report the fatal outcome of a preterm neonate with a huge congenital right atrial epitheloid-capillary hemangioma and elevated serum alpha-fetoprotein, associated with prolonged QT interval. We describe the echocardiographic, computed tomographic (CT) imaging, microscopic and immunohistochemical features of the tumor. Complete resection of the tumor was done at operation necessitating extensive reconstruction of atrial walls. Intramural infiltration of this tumor into the surrounding myocardial walls is a challenging characteristic of cardiac hemangioma. The temptation to complete resection should be avoided in the setting of extensive intramural infiltration and entrapment of the tumoral cells into atrial walls, particularly in a preterm neonate. None of the current classifications for hemangioma was inclusive of our case. Based on a concise literature review of nine published classification systems from 1996 to 2017 , we discuss the shortcomings of the current classifications for hemangioma. We also performed a 25-year-review of 299 cases of primary cardiac tumors in neonates and children, from 1993 to May 2018. We suggest a stepwise surgical treatment strategy according to the characteristics of the patient and of the tumor, based on this review. The stepwise strategy includes watchful observation, partial resection, complete resection and cardiac transplantation.

show abstract

“…They can proliferate or even regress. The usual sites are right atrium, LV, right ventricle, left atrium, and pericardium . Surgical excision is the only definitive treatment although a few cases of recurrences have been reported.…”

Section: Discussionmentioning

confidence: 99%