Large left atrial cavernous hemangioma, a case report

Cardiac cavernous hemangiomas are extremely rare and usually difficult to be diagnosed for being asymptomatic. An asymptomatic 56-year-old woman was hospitalized due to a heart mass found by chest computed tomography (CT) during her annual physical examination. Coronary computed tomography angiograp...

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Bibliographic Details
Published in:Journal of cardiothoracic surgery 2019-11, Vol.14 (1), p.199-199, Article 199
Main Authors: Xu, Jian, Piao, Hulin, Wang, Duo, Wang, Yong, Li, Bo, Wang, Tiance, Zhu, Zhicheng, Li, Dan, Xu, Rihao, Liu, Kexiang
Format: Article
Language:English
Subjects:
Angiography
Atrial Fibrillation
Cardiac benign tumor
Cardiac Surgical Procedures - methods
Case Report
CAT scans
Cavernous hemangioma
Coronary artery bypass
Diagnosis
Diagnostic imaging
Female
Heart Atria
Heart Neoplasms - diagnosis
Heart Neoplasms - surgery
Hemangioma
Hemangioma, Cavernous - diagnosis
Hemangioma, Cavernous - surgery
Humans
Middle Aged
Stenosis
Surgery
Tomography
Tomography, X-Ray Computed - methods
Tumors
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Summary:Cardiac cavernous hemangiomas are extremely rare and usually difficult to be diagnosed for being asymptomatic. An asymptomatic 56-year-old woman was hospitalized due to a heart mass found by chest computed tomography (CT) during her annual physical examination. Coronary computed tomography angiography (CTA) disclosed a tumorous lesion, located in the left atrial roof and extended to the posterior wall of the aortic root and surrounding the left main coronary artery. However, there was no communicating branches between the hemangioma and coronary artery and no coronary artery stenosis. The tumor was excised with low-frequency electrocautery under cardiopulmonary bypass. The histopathological examination indicated the mass a cavernous hemangioma. The patient was discharged with an uneventful recovery. Here we presented a rare case of successfully excision of a cavernous hemangioma involving the left atrial roof and left coronary artery. We advocate adequate exposure and complete surgical excision with low-frequency electrocautery to avoid remnants and excessive resection.
ISSN:1749-8090
1749-8090
DOI:10.1186/s13019-019-1005-9