Surgical treatment of a cavernous haemangioma of the heart

Cardiac haemangioma is an extremely rare, benign vascular tumour. A 42-year-old female patient who was previously very active presented with complaints of exertional chest pain as well as lower extremity oedema. Computed tomography and magnetic resonance imaging showed a large mass in the anterior m...

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Bibliographic Details
Published in:European journal of cardio-thoracic surgery 2012-05, Vol.41 (5), p.1182-1183
Main Authors: Chen, Xujun, Lodge, Andrew J., Dibernardo, Louis R., Milano, Carmelo A.
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Cardiology. Vascular system
Female
Heart
Heart Neoplasms - diagnosis
Heart Neoplasms - pathology
Heart Neoplasms - surgery
Hemangioma, Cavernous - diagnosis
Hemangioma, Cavernous - pathology
Hemangioma, Cavernous - surgery
Humans
Magnetic Resonance Imaging
Medical sciences
Pneumology
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the heart
Tomography, X-Ray Computed
Tumors of the heart
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Summary:Cardiac haemangioma is an extremely rare, benign vascular tumour. A 42-year-old female patient who was previously very active presented with complaints of exertional chest pain as well as lower extremity oedema. Computed tomography and magnetic resonance imaging showed a large mass in the anterior mediastinum originating from the right atrioventricular groove and abutting the superior vena cava, right atrium, right ventricular outflow tract and aortic root. Open biopsy via right mini-thoracotomy revealed cavernous haemangioma. After the biopsy, the patient was treated with three doses of bevacizumab but symptoms worsened and the mass did not regress. Therefore, the patient underwent median sternotomy and resection of the large tumour that encroached upon the right coronary artery. Final histopathological examination revealed cavernous haemangioma. The patient made an uneventful recovery.
ISSN:1010-7940
1873-734X
DOI:10.1093/ejcts/ezr153