Related Experiment Video

Updated: Oct 26, 2025

Laparoscopic Anatomical Right Hemihepatectomy via the In Situ Anterior Approach
05:30

Laparoscopic Anatomical Right Hemihepatectomy via the In Situ Anterior Approach

Published on: August 8, 2025

162

Cardiac Hemangioma Producing Pericardial Effusion Detected on Thoracoscopic Pericardial Fenestration

Takuya Fujita1, Yo Kawaguchi1, Yoko Kataoka1

  • 1Division of General Thoracic Surgery, Kohka Public Hospital, Kohka City, Shiga, Japan; Department of Thoracic Surgery, National University Corporation, Shiga University of Medical Science, Shiga, Japan.

The Annals of Thoracic Surgery
|July 31, 2021
PubMed

Insights

A massive pericardial effusion in a 76-year-old woman was drained, leading to the incidental discovery of a cardiac tumor. Surgical resection confirmed the tumor as a hemangioma.

Area of Science:

  • Cardiology
  • Thoracic Surgery
  • Pathology

Background:

  • A 76-year-old female patient presented with dyspnea.
  • Computed tomography revealed a massive pericardial effusion, necessitating percutaneous catheter drainage.
  • Initial investigations for common causes of exudative effusion were inconclusive.

Observation:

  • Thoracoscopic pericardial fenestration was performed for biopsy and long-term drainage.
  • An incidental finding during the procedure was a 2 cm tumor situated between the left atrial appendage and left pulmonary artery.
  • The tumor was attached to the left atrial appendage.

Findings:

  • The tumor was surgically resected.
  • Pathologic examination diagnosed the tumor as a hemangioma.

Implications:

  • This case highlights the importance of thorough examination during procedures for pericardial effusion.
  • It demonstrates the successful diagnosis and treatment of an incidentally discovered cardiac tumor.
  • Pericardial effusion management can lead to unexpected diagnostic opportunities for cardiac masses.

More Related Videos

Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure07:41

Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure

Published on: February 8, 2022

3.9K
Implantation of the Syncardia Total Artificial Heart16:11

Implantation of the Syncardia Total Artificial Heart

Published on: July 18, 2014

35.6K

Related Concept Videos

Pericarditis III: Medical Management01:17

Pericarditis III: Medical Management

The primary objectives of managing pericarditis are to determine the underlying cause, provide effective therapy for treatment and symptom relief, and promptly detect signs and symptoms of cardiac tamponade. The following outlines the essential aspects of medical management for pericarditis:ObjectivesDetermine the Cause: Identifying the underlying cause of pericarditis is crucial for targeted treatment. Causes include viral infections, autoimmune diseases, post-cardiac injury syndrome, and...
66
Mitral Stenosis II: Clinical features and Diagnostic Tests01:23

Mitral Stenosis II: Clinical features and Diagnostic Tests

Mitral stenosis is a heart condition in which the mitral valve, which allows blood to flow from the left atrium to the left ventricle, becomes narrowed or stenotic. This narrowing hinders blood flow and leads to clinical symptoms requiring specific medical evaluations and management strategies. The following overview outlines the clinical symptoms, assessments, diagnostic findings, prevention methods, and treatments for mitral stenosis.Clinical ManifestationsDyspnea (shortness of breath): This...
50
Cardiac Catheterization II: Right Heart Catheterization01:21

Cardiac Catheterization II: Right Heart Catheterization

Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...
257
Pericarditis II: Clinical Features and Diagnostic Tests01:19

Pericarditis II: Clinical Features and Diagnostic Tests

Pericarditis is distinguished by inflammation of the pericardium, the fibrous sac that encases the heart. It can be acute, lasting less than six weeks, or chronic, persisting for over three months. Understanding its clinical manifestations and diagnostic findings is crucial for timely and effective management.Clinical ManifestationsWhile pericarditis can be asymptomatic, it usually presents with characteristic symptoms such as:Chest Pain: The most characteristic symptom of pericarditis is chest...
77
Pericarditis I: Introduction01:22

Pericarditis I: Introduction

Pericarditis is defined as the inflammation of the pericardium, the thin, sac-like membrane surrounding the heart. This condition can cause significant chest pain and other symptoms, often necessitating medical intervention. The pericardium has two layers: the inner visceral layer and the outer parietal layer, separated by a small amount of fluid that reduces friction during heartbeats.Types of PericarditisPericarditis can be classified into several types based on the duration and nature of the...
66
Cardiomyopathy III: Hypertrophic Cardiomyopathy01:29

Cardiomyopathy III: Hypertrophic Cardiomyopathy

Hypertrophic cardiomyopathy, or HCM, is an autosomal dominant genetic disorder characterized by asymmetric left ventricular hypertrophy without ventricular dilation. It is more common in men and is typically diagnosed in young, athletic adults.EtiologyHCM is primarily genetic and is caused by mutations in genes encoding sarcomeric proteins. Researchers have identified over 1400 mutations across at least 11 different genes. Among these, the most frequently occurring mutations are found in the...
101