Cardiac Hemangioma of RVOT in a Patient with Atypical Chest Pain

Abstract

A 40-year-old man presented with atypical chest pain and fatigue from 15 days ago a suspicious mass in the right ventricle based on a bed side transthoracic echocardiography. Preoperative diagnosis of a cardiac hemangioma comes to mind in a minority of cases. In our case, a cardiac tumor was diagnosed and the vascular nature of the tumor was suggested by vascular blush on the coronary angiography. In addition, right ventriculotomy was the approach of choice in our case because of its inaccessibility and its particular location.

A Rare Case of Left Atrial Hemangioma: Surgical Resection and Reconstruction

“…The natural history of cardiac hemangioma is changeable: it can continue to proliferate, cease growing, or regress. 2,4 Complete tumor excision is suggested for tissue diagnosis and impending cure, with a likely good long-term prognosis. The rate of recurrence after surgical resection is indefinite.…”

Incremental benefit of three‐dimensional transesophageal echocardiography in the assessment of a primary pericardial hemangioma

“…13 • The commonest location is RV 14 then LV. 15,16 Other locations such as RA, 15 RVOT, 17 LA, IAS, IVS, and pericardial cavity 8,11 have been reported. • Fixed to the surrounding structures or mobile masses.…”

“…We also summarize in a tabular form the clinical presentation, diagnostic features, prognosis, and management of cardiac/pericardial hemangiomas as well as all the reported cases that have been described in the literature so far using 3D echocardiography (Tables 1-5). [8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25] A 45-year-old female presented with a 1-year history of chest tightness. Two years previously a 6×4 cm opacity located over the left heart border was discovered accidentally on a chest x-ray which was followed by a thoracoscopic pericardiotomy confirming the presence of the mass.…”

Epithelioid Hemangioma (Angiolymphoid Hyperplasia With Eosinophilia) of the Heart With Peripheral Eosinophilia and Nephrotic Syndrome

“…3,4,8-17 EH is histologically composed of well-formed, but often immature, vessels lined by epithelioid/histiocytoid endothelial cells with a prominent inflammatory component (eosinophils, lymphocytes, plasma, and mast cells). 3,4,8-32…”