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Published on: February 8, 2022
A Giant Cavernous Hemangioma of the Left Atrioventricular Groove
Chengming Fan1, Changming Tan1, Demiao Kong1
1Department of the Cardiovascular Surgery, The Second Xiangya Hospital, Central South University, Middle Renmin Road 139, Changsha 410011, China.
Insights
A rare giant cardiac cavernous hemangioma in a child was monitored for 5 years. Surgical resection was successful, with the patient remaining asymptomatic post-operation.
Area of Science:
- Cardiology
- Oncology
- Pediatric Surgery
Background:
- Cardiac tumors are rare in children, with cavernous hemangiomas being an unusual subtype.
- Giant cardiac cavernous hemangiomas require careful monitoring due to potential growth and complications.
Observation:
- A 10-year-old female presented with an incidentally discovered, asymptomatic giant cardiac cavernous hemangioma.
- The tumor, located on the left atrioventricular groove, showed significant enlargement over a 5-year observation period.
Findings:
- Surgical intervention was chosen due to tumor growth.
- Complete tumor resection was successfully performed, with the mass having a complete packing membrane.
Implications:
- This case highlights the importance of long-term monitoring for incidentally detected cardiac tumors in pediatric patients.
- Successful surgical management of giant cardiac cavernous hemangiomas is feasible, leading to favorable outcomes.
Abstract:
A 10-year-old Chinese female diagnosed with an asymptomatic giant cardiac cavernous hemangioma was reported. The patient originally tended to observation because this unusual cardiac tumoral mass was discovered incidentally during routine health examination of transthoracic echocardiography. Over 5 years of follow-up, the mass had enlarged obviously, and the patient visited our outpatient clinic and was prone to excision. Subsequently, a total resection surgery of the tumor was performed, and the tumor was found to be located on the left atrioventricular groove with complete packing membrane. The patient was discharged on postoperative day 4 and remains asymptomatic on last follow-up.
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