Related Experiment Video
Updated: Dec 14, 2025

Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure
Published on: February 8, 2022
Right atrial cavernous hemangioma
Manikappa Shashikanth1, Sandler Nicola2, Chen Yi2
1Department of Anaesthesia and Perioperative Medicine, Monash Health, Clayton, Australia.
Insights
Benign cardiac hemangiomas, rare heart tumors, are best diagnosed with echocardiography. While 3D transesophageal echocardiography (TEE) offers detailed location data, operating room time constraints can limit its comprehensive use.
Area of Science:
- Cardiology
- Oncology
- Medical Imaging
Background:
- Benign cardiac hemangiomas are uncommon neoplasms that can occur within or on the surface of the heart.
- The epicardium is the most frequent location for these rare cardiac tumors.
Observation:
- Echocardiography is the primary diagnostic tool for identifying cardiac masses.
- Three-dimensional transesophageal echocardiography (3D TEE) can provide precise anatomical information regarding mass location.
Findings:
- Despite the potential for detailed spatial data, the practical application of 3D TEE in the operating room is often hindered by time limitations.
- Comprehensive examination and real-time 3D rendering during surgery present significant challenges.
Implications:
- The findings suggest a need for optimized protocols for intraoperative echocardiography in diagnosing cardiac hemangiomas.
- Balancing diagnostic accuracy with surgical efficiency remains a key consideration in managing these rare tumors.
Abstract:
Benign cardiac hemangiomas are rare tumors that may present in or out side of the heart, epicardium being the most common site. Echocardiography is the method of choice in diagnosing cardiac masses and though 3D TEE may seem to add exact information about the location, the time constraint in doing a comprehensive examination along with 3D rendering inside operation room may become an hindrance.
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