Cardiac Hemangioma: Getting to the Heart of the Matter

Cardiac hemangiomas are rare, benign primary tumors that can be locally invasive and cause symptoms. The current recommendation is a complete R0 resection, which may require coronary artery reconstruction. We present a patient with progressive dyspnea who was found to have a large cardiac hemangioma encasing the left anterior descending artery and compressing the left ventricle. To achieve an R0 resection, the mass was removed en bloc with the left anterior descending artery, and the artery was reconstructed using a saphenous vein interposition graft. This case demonstrates the importance of an R0 resection for cardiac hemangioma, which may need nontraditional revascularization techniques.