Case report: a rare case of pedunculated LV hemangioma evaluated by 3D echocardiography and compared with myxoma
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Updated: Mar 15, 2026

Morphological and Functional Assessment of the Right Ventricle Using 3D Echocardiography
Published on: October 28, 2020
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.
Abstract:
We report a case of a pedunculated, hypermobile LV mass, which was evaluated by 2D as well 3D transthoracic echocardiography (TTE). A presumptive diagnosis of cardiac hemangioma was made based on 3D cropped images. This was later confirmed on histopathology as well as histochemical staining.
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Types of Echocardiography
Transthoracic Echocardiography (TTE)
TTE is the most common type of echocardiogram which involves placing a transducer on the patient's chest, emitting sound waves to create heart images. TTE is invaluable for evaluating the heart's size, structure, and motion, making it particularly useful for...

