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Sudden death in adolescence caused by cardiac haemangioma
Stefania Zerbo1, Antonina Argo, Emiliano Maresi
1Department of Legal Medicine, Via Del Vespro, 127, 90129 Palermo, Italy. stefaniazerbo@virgilio.it
Insights
Sudden cardiac death in an adolescent was linked to a rare cardiac hemangioma. This case highlights the importance of considering rare primary heart tumors in pediatric sudden death investigations.
Area of Science:
- Cardiovascular Pathology
- Pediatric Oncology
Background:
- Primary cardiac tumors are rare in children, with rhabdomyoma being the most common in this age group.
- Cardiac hemangiomas are uncommon benign heart tumors, often asymptomatic and diagnosed incidentally or post-mortem.
Observation:
- A case report details the sudden death of a seemingly healthy 15-year-old adolescent.
- Autopsy revealed a cardiac hemangioma at the apex of the heart.
Findings:
- Histopathological examination identified the tumor as a mixed capillary and arteriolar hemangioma.
- This specific type of hemangioma is exceptionally rare in adolescents.
Implications:
- This case underscores the potential for rare primary cardiac tumors, like hemangiomas, to cause sudden death in pediatric populations.
- Highlights the need for comprehensive diagnostic approaches in unexplained pediatric sudden death, including consideration of cardiac pathology.
Abstract:
Primary tumors of the heart in infants and children are rare. The types of heart tumors in pediatric age groups are generally different from those in adults. Cardiac myxoma is by far the most common tumor in adults, but in infants and adolescents the prevalent tumor of the heart is rhabdomyoma. Among benign cardiac tumors, cardiac hemangiomas are rare and often diagnosed post-mortem due to the lack of specific clinical symptoms and signs. We report a case of sudden death due to cardiac hemangioma in an apparently healthy 15-year-old adolescent. The autopsy revealed a cardiac hemangioma located at the apex of the heart; the histopathological examination showed the tumor was a mixed capillary and arteriolar hemangioma, a very rare type of primary tumor in adolescents.
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