Case report: a rare case of pedunculated LV hemangioma evaluated by 3D echocardiography and compared with myxoma

Naveen Garg1, Kanwal K Kapur2, Anup Ganjoo3

  • 1Department of Noninvasive Cardiology, Indraprastha Apollo Hospital, New Delhi, India.

Insights

A rare pedunculated, hypermobile left ventricular (LV) mass was diagnosed using 3D transthoracic echocardiography (TTE). Histopathology confirmed the mass as a cardiac hemangioma, highlighting advanced imaging for accurate diagnosis.

Area of Science:

  • Cardiovascular Imaging
  • Pathology
  • Cardiac Oncology

Background:

  • Left ventricular masses are uncommon, necessitating accurate diagnostic approaches.
  • Distinguishing between neoplastic and non-neoplastic cardiac masses is clinically significant.

Observation:

  • A case of a pedunculated, hypermobile left ventricular mass was identified.
  • Two-dimensional and three-dimensional transthoracic echocardiography (TTE) were utilized for evaluation.

Findings:

  • Three-dimensional cropped echocardiographic images suggested a cardiac hemangioma.
  • Histopathology and histochemical staining definitively confirmed the diagnosis of cardiac hemangioma.

Implications:

  • Advanced echocardiographic techniques, particularly 3D imaging, aid in the presumptive diagnosis of rare cardiac tumors.
  • Accurate diagnosis of cardiac hemangioma is crucial for appropriate patient management and treatment strategies.

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