Advanced presentation of cardiac hemangioma
Francesco Rattenni1, Francesco Giuseppe Arlati2,3, Andrea Galanti2
1University of Brescia, Brescia, Italy. f.rattenni@unibs.it.
Insights
This study reports a rare cardiac hemangioma case presenting with severe symptoms like anasarca and heart failure. Successful surgical resection led to a favorable outcome, highlighting the importance of prompt diagnosis and treatment for these benign vascular tumors.
Area of Science:
- Cardiology
- Oncology
- Vascular Surgery
Background:
- Cardiac hemangiomas are rare, benign vascular tumors.
- Symptoms vary based on tumor location and impact on adjacent structures.
Observation:
- A 79-year-old patient presented with anasarca, hepatic damage, ascites, pleural effusion, and right heart failure.
- The clinical diagnosis was triggered by these severe symptoms, indicating a right cardiac hemangioma.
Findings:
- The cardiac hemangioma was located in a rare position on the tricuspid valve.
- Complete tumor resection was achieved using cardiopulmonary bypass without complications.
- A favorable mid-term outcome (12 months) was observed post-surgery.
Implications:
- This case highlights the potential for cardiac hemangiomas to cause acute, severe symptoms.
- Early diagnosis and surgical intervention are crucial for managing cardiac hemangiomas, even in rare locations.
- Complete resection offers a favorable prognosis for patients with cardiac hemangioma.
Abstract:
Cardiac hemangioma is a rare, benign vascular primary tumor. Clinical presentation is either asymptomatic or with symptoms due to its location and spatial interaction with adjacent structures. The authors present a case of right cardiac hemangioma whose clinical diagnosis was triggered by symptoms of anasarca status, hepatic damage with ascites, pleural effusion and right heart failure. The 79 years-old patient has been treated with complete resection of the tumor by means of cardiopulmonary bypass, without complications. The mid-term outcome (12 months) was favorable. The aim of this study is to report a case of cardiac hemangioma with relevant dimensions, in a rare location (tricuspid valve) with acute onset and interesting aspects of clinical presentation.
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