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Pedunculated hemangioma in the right ventricle
M Ikeda1, H Ohashi, Y Tsutsumi
1Department of Cardiovascular Surgery, Fukui Cardiovascular Center, 2-228 Shinbo, Fukui 910-0833, Japan.
The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyobu Geka Gakkai Zasshi
|October 2, 2001
Summary
This study details a rare right ventricular hemangioma case found incidentally. Surgical removal was successful, highlighting the importance of monitoring for potential cardiac complications.
Area of Science:
- Cardiology
- Oncology
- Pathology
Background:
- Right ventricular hemangiomas are exceedingly rare cardiac tumors.
- Incidental diagnosis during routine medical checkups is uncommon.
- Understanding the presentation and management of these rare tumors is crucial.
Observation:
- A 56-year-old asymptomatic male presented with an incidentally discovered right ventricular tumor.
- Echocardiography revealed a pedunculated mass (1.0 x 1.3 x 1.5 cm) on the right ventricle's free wall.
- Preoperative coronary angiography showed no feeding artery or vascular blush.
Findings:
- Surgical resection via right atriotomy under cardiopulmonary bypass was successfully performed.
- Histological examination confirmed the tumor as a capillary hemangioma.
- The patient's postoperative course was uneventful.
Implications:
- This case represents the fifth reported instance of right ventricular hemangioma in Japan.
- Postoperative surveillance is essential to rule out the development of coronary cardiac fistula.
- Further research into the etiology and long-term outcomes of cardiac hemangiomas is warranted.