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Cardiac Cavernous Hemangioma Coexisting With Pulmonary Cavernous Hemangiomas and Giant Hepatic Hemangioma
Chunping Wang1, Hao Chen1, Lin Sun2
1Department of Cardiothoracic Surgery, Tongji Hospital, Tongji University School of Medicine, Shanghai, China.
Insights
This report details a rare case of cardiac cavernous hemangioma co-occurring with pulmonary and hepatic hemangiomas in a liver transplant patient. Multiorgan hemangioma involvement highlights the need for vigilance in vascular lesion diagnosis.
Area of Science:
- Cardiovascular Medicine
- Oncology
- Radiology
Background:
- Cardiac hemangiomas are exceptionally rare tumors.
- Hepatic hemangiomas can necessitate significant interventions like liver transplantation.
- Multifocal vascular lesions present diagnostic challenges.
Observation:
- A 35-year-old woman presented with chest pain post-liver transplant for a giant hepatic hemangioma.
- Imaging revealed a cardiac neoplasm and multiple pulmonary nodules.
- Surgical resection of the cardiac tumor and biopsy of pulmonary nodules were performed.
Findings:
- Histopathology confirmed cavernous hemangiomas in both the heart and lungs.
- The patient experienced an uneventful recovery after surgical intervention.
- This case represents a unique instance of multiorgan cavernous hemangioma involvement.
Implications:
- The findings underscore the importance of considering vascular tumors in differential diagnoses for cardiac and pulmonary lesions.
- Imaging characteristics suggestive of vascular origin warrant further investigation.
- This case contributes to the limited literature on rare cardiac neoplasms and multiorgan hemangiomatosis.
Abstract:
We describe a case of cardiac cavernous hemangioma with coexisting pulmonary cavernous hemangiomas and hepatic hemangioma. A 35-year-old woman who had previously received a living donor liver transplant to cure giant hepatic hemangioma was seen because of chest pain. A cardiac neoplasm and multiple pulmonary nodules were detected. The tumor was surgically removed, and biopsy specimens were taken from the lung nodules. Histopathologic examination confirmed that both lesions were cavernous hemangiomas. The patient was discharged without adverse events postoperatively. Cardiac hemangioma is an extremely rare entity; the present case is unique for its multiorgan involvement. Suspicion of this entity should be aroused if the imaging manifestation suggests a vascular nature.
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