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Right Atrial Cardiac Hemangioma: A Multidisciplinary Pathway From Symptoms to Surgery

Jade Gourmelon1, Valentin Loobuyck1, Valentina Silvestri2

  • 1Department of Cardiac Surgery, University of Lille, Centre Hospitalier Universitaire Lille, Lille, France.

JACC. Case Reports
|January 17, 2025
PubMed

Insights

A rare cardiac capillary hemangioma caused right heart failure in a 76-year-old man. Advanced imaging challenges in localizing intracardiac masses, like this vascular tumor, are highlighted.

Area of Science:

  • Cardiology
  • Cardiovascular Surgery
  • Diagnostic Imaging

Background:

  • Right heart failure can stem from various causes, including intracardiac masses.
  • Cardiac tumors are rare, with hemangiomas being an uncommon subtype.
  • Accurate localization and characterization of cardiac masses are crucial for diagnosis and treatment planning.

Purpose of the Study:

  • To report a case of de novo right heart failure secondary to an intracardiac capillary hemangioma.
  • To illustrate the diagnostic challenges associated with rare cardiac masses despite advanced imaging.
  • To emphasize the importance of surgical confirmation for definitive diagnosis.

Main Methods:

  • A 76-year-old male patient presenting with new-onset right heart failure.
  • Multimodality cardiac imaging, including echocardiography and positron emission tomography (PET) scan.
  • Surgical resection of the intracardiac mass via right anterior mini-thoracotomy.

Main Results:

  • Echocardiography identified a mass near the right atrium, but its precise location was unclear.
  • PET scan indicated hypermetabolic activity, suggesting a vascular tumor.
  • Histopathological examination of the resected mass confirmed a capillary hemangioma.

Conclusions:

  • Cardiac capillary hemangiomas can present as right heart failure.
  • Advanced imaging modalities may still face challenges in precisely localizing and characterizing rare intracardiac masses.
  • Surgical resection remains essential for definitive diagnosis and management of such rare cardiac tumors.

Keywords:
cardiac hemangiomacardiac massesmultimodality imaging

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