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Large lymphaticovenous malformation resection.

Michael J Ewing1, Riyam T Zreik, Ludvik R Donner

  • 1Texas A&M Health Science Center College of Medicine, Temple, TX, USA.

Interactive Cardiovascular and Thoracic Surgery
|March 26, 2013
PubMed
Summary
This summary is machine-generated.

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A rare giant cardiac lymphaticovenous malformation was resected from a 38-year-old female. This congenital vascular anomaly caused shortness of breath due to its large size and location.

Area of Science:

  • Cardiovascular Medicine
  • Vascular Surgery
  • Pathology

Background:

  • Cardiac vascular lesions are uncommon and infrequently documented.
  • Lymphaticovenous malformations (LVMs) are congenital anomalies resulting from developmental errors in venolymphatic pathways.

Observation:

  • A 38-year-old female presented with a giant cardiac lymphaticovenous malformation originating from the atrioventricular groove.
  • The mass measured 6.0 cm x 10.4 cm and caused exertional dyspnea.
  • The lesion was intimately associated with the coronary sinus.

Findings:

  • Histological examination revealed dilated lymphatic and vascular channels within a fatty stroma.
  • The giant cardiac LVM was successfully resected.
  • No intraoperative or postoperative complications occurred.
Keywords:
CardiacCardiac tumoursCoronary sinusLymphaticLymphaticovenousMalformationTumourVascular

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Implications:

  • This case highlights the importance of recognizing and managing rare cardiac vascular tumors.
  • Surgical resection is a viable treatment option for symptomatic cardiac LVMs.
  • Further research into the pathogenesis and optimal management of cardiac LVMs is warranted.