Cardiac hemangioma in a difficult anatomical location presented with ventricular tachycardia. A rare case report

Abstract

Cardiac hemangioma is a benign and rare primary tumor of the heart. Though it has benign histopathological features, its complications can be life-threatening. We report a young adult male without any prior structural heart disease or medical history who presented with ventricular tachyarrhythmia. Echocardiography revealed an echogenic mass located intramurally in the left lateral ventricle and its distinctive characteristics were revealed with further imaging modalities. Though simple complete removal of the mass is the preferred treatment, its firm texture and thinned encircling myocardium prevented the total excision. In this case report, we discussed cardiac hemangioma, its potential complications and treatment options.

A rare pediatric case of pedunculated cardiac hemangioma of the left ventricle

“…However, CH typically don't show LGE which was seen in the present case. The LGE as demonstrated in the present case can be attributed to the presence of fibrosis that has imparted intense enhancement on delayed images 3 . Preoperative presumptive diagnosis of an uncommon cardiac tumors as hemangioma strikes the intellect only in a minority of cases.…”

“…attributed to the presence of fibrosis that has imparted intense enhancement on delayed images. 3 Preoperative presumptive diagnosis of an uncommon cardiac tumors as hemangioma strikes the intellect only in a minority of cases. The current case demonstrates the importance of the CMR imaging as an indispensable noninvasive imaging modality for characterising rare cardiac tumors including cardiac hemangioma.…”

Fetal cardiac capillary hemangioma resulting in tachyarrhythmia

“…occasionally cause fetal arrhythmias leading to sudden death. [5][6][7][8][9] It is difficult to determine histopathological diagnosis by ultrasound or MRI during fetal life.…”

“…Cardiac hemangiomas are characterized by disorganized proliferation of vascular endothelial cells and are classified into three histopathological subtypes: (a) cavernous, (b) capillary, and (c) arteriovenous type 4 . Cardiac hemangiomas can spontaneously regress but occasionally cause fetal arrhythmias leading to sudden death 5–9 . It is difficult to determine histopathological diagnosis by ultrasound or MRI during fetal life.…”