Cardiac hemangioma in children: case report

Area of Science:

• Pediatric Cardiology
• Neonatology
• Hepatology

Background:

• Hepatic hemangiomas are common benign liver tumors in neonates.
• Cardiac hemangiomas are rare and can lead to significant complications.
• Coexistence of hepatic and cardiac hemangiomas is exceptionally rare.

Purpose of the Study:

• To report a rare case of coexisting hepatic and cardiac hemangiomas in a preterm neonate.
• To describe the diagnostic and management approach.
• To highlight the importance of multidisciplinary care and long-term surveillance.

Main Methods:

• Diagnosis via routine screening, echocardiography, and ultrasound.
• Management included pericardiocentesis and propranolol therapy.
• Long-term follow-up over three years.

Main Results:

• A preterm neonate (36 weeks) presented with hepatic hemangiomas.
• Cardiac hemangiomas and pericardial effusion were identified, requiring intervention.
• Propranolol treatment resulted in complete regression of both hepatic and cardiac hemangiomas within three years without complications.

Conclusions:

• The coexistence of hepatic and cardiac hemangiomas is a rare clinical presentation.
• Multidisciplinary management involving neonatology, cardiology, and hepatology is crucial.
• Propranolol appears effective for treating both hepatic and cardiac hemangiomas, necessitating long-term follow-up.