Multisided cardiac hemangiomas mimicking biatrial thrombus: atypically located cardiac hemangiomas of left atrial appendage and right atrium.

Ministry of Health Dişkapi Yildirim Beyazit Research and Educational Hospital, Department of Cardiology, Ankara, Turkey.
Journal of the American Society of Echocardiography: official publication of the American Society of Echocardiography (Impact Factor: 2.98). 03/2009; 22(4):434.e7-9. DOI: 10.1016/j.echo.2008.12.025
Source: PubMed

ABSTRACT Hemangiomas are rare benign tumors of the heart. Clinical presentation is highly variable according to the location, size, and extension of the tumor. Hemangiomas have been described in all cardiac chambers, but most occur on the right side of the heart and in the left atrium. Although diagnosis is typically made by echocardiography, the definite diagnosis can be made with certainty only from a very careful histopathologic examination. The authors report a case of atypically located hemangiomas originating from the left atrial appendage and right atrium in a 71-year-old woman who presented with ischemic stroke. Transthoracic and transesophageal echocardiography demonstrated an elongated left atrial mass originating in the atrial appendage and extending well into the left atrium to the mitral orifice, as well as a right atrial mass and intense biatrial spontaneous echo contrast. It was unclear whether the masses represented thrombus or an unusually located atrial tumor. Immunohistologic examinations revealed a biatrial cavernous hemangioma with no signs of malignancy.

  • [Show abstract] [Hide abstract]
    ABSTRACT: A case of asymptomatic right atrial cavernous hemangioma in a 50-year-old man is reported. With right atriotomy under total cardiopulmonary bypass, the right atrial mass was identified as arising from the noncoronary Sinus of Valsalva. The mass was successfully resected with the Sinus of Valsalva closed primarily. The patient is alive and well 9 months following the operation. The incidental discovery of the mass, clinical evaluation, operative procedure, and pathologic findings are reported. We also briefly discuss the epidemiology, natural history, and the diagnostic and therapeutic approaches to cardiac tumors.
    Cardiovascular Pathology 01/2004; 13(6):341-4. · 2.35 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: A 62 years old man with Child B liver cirrhosis, prostate cancer and a recent colon carcinoma resection was referred to our cardiology department for trans-thoracic-echocardiography (TTE) in order to establish left ventricular function before starting chemotherapy. TTE revealed a mobile mass (16 x 8 mm) attached to the anterior-medial left ventricular wall, protruding and swinging within the left ventricle cavity. At follow-up TTE showed growing of the intra-cardiac tumor up to 27 x 10 mm, corresponding to a size increase of 1 mm/month. Among different pathologies a rapid growing benign tumor with a high risk of systemic embolisation or an endocardial blood cyst were retained as possible diagnoses. Given the progression of the cardiac finding and the patient's improved general condition, surgical resection of the cardiac mass was performed. Histological examination revealed a mixed capillary/cavernous hemangioma. This case shows the unusual concomitant appearance of a rapid growing cavernous hemangioma which rarely located at ventricular level and the feasibility of cardiac resection without further sequelae in a poly-morbid patient.
    Journal of the American Society of Echocardiography: official publication of the American Society of Echocardiography 08/2006; 19(7):939.e5-7. · 2.98 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: A 44-year-old man presented with atypical chest pain and dyspnea. Investigation revealed the presence of a 15-mm rounded, well-vascularized left-ventricular mass. The mass was removed surgically and histopathologic evaluation identified a cardiac hemangioma.
    European Heart Journal – Cardiovascular Imaging 02/2007; 8(1):17-8. · 3.67 Impact Factor