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Cardiac hemangioma
Insights
Cardiac hemangiomas are rare heart tumors often found incidentally. Complete surgical excision is the recommended treatment for these vascular anomalies.
Area of Science:
- Cardiology
- Oncology
- Pathology
Background:
- Hemangiomas are rare primary tumors of the heart.
- They are often discovered incidentally during autopsy, clinical evaluation, or cardiac surgery.
- Clinical presentations can be varied, including valvular disorders, arrhythmias, vascular obstruction, pericardial effusion, and embolic events.
Purpose of the Study:
- To review the diagnosis and treatment of cardiac hemangiomas.
- To present two cases of cardiac hemangioma, one found at autopsy and another during coronary artery bypass surgery.
Main Methods:
- Review of existing literature on cardiac hemangiomas.
- Case presentation of two patients with cardiac hemangioma.
Main Results:
- Cardiac hemangiomas are uncommon but can present with diverse clinical manifestations.
- Diagnostic tools like catheterization, angiography, and echocardiography aid in antemortem diagnosis.
- Surgical excision is the primary treatment modality.
Conclusions:
- Cardiac hemangiomas require a high index of suspicion due to their potential for significant complications.
- Early and accurate diagnosis is crucial for effective management.
- Complete surgical excision remains the treatment of choice.
Abstract:
Hemangiomas are uncommon primary tumors of the heart. Most of them are found incidentally at autopsy, during clinical evaluation, or cardiac surgery. Occasionally, a protean clinical picture is manifested, including valvular disorder, arrhythmias, obstruction of coronary artery and other significant vasculature, pericardial effusion, and embolic phenomena. Catheterization, angiography, and echocardiography all play some important role in the antemortem diagnosis of this cardiac tumor. The treatment of choice is simple complete excision. In this review, we add our experience with cardiac hemangiomas: one incidentally discovered at autopsy and another found during coronary artery bypass surgery.