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Published on: August 8, 2025
Giant cardiac hemangioma: case report and literature review
Henrique Coutinho1,2, Gustavo Kikuta1,2, Marcos Filgueiras3
1Department of Cardiovascular Surgery, Pedro Ernesto University Hospital, Boulevard 28 de Setembro, 77, Vila Isabel, Rio de Janeiro, RJ 20551-030, Brazil.
Introduction:
Primary cardiac tumours are rare, with haemangiomas constituting only 2% of benign cardiac tumours. Although benign, these lesions can compress adjacent cardiac structures, leading to symptoms such as arrhythmias, heart failure, or even sudden death. This study presents a rare case of a giant cardiac haemangioma and provides a review of the current literature on its diagnosis and management.
Case Report:
A 58-year-old female presented with progressive abdominal pain and dyspnoea. Imaging revealed a large, heterogeneous mass in the pericardial sac measuring 11.9 × 11.7 × 6.7 cm. Complete surgical resection was performed without complications. Histopathological analysis confirmed the diagnosis of a cavernous haemangioma. Postoperative recovery was uneventful, and follow-up imaging showed no residual mass or functional impairment.
Discussion:
Cardiac haemangiomas are rare and pose significant diagnostic challenges. Advanced imaging modalities, such as magnetic resonance imaging (MRI) and computed tomography (CT), are essential for accurate diagnosis and surgical planning. Complete tumour resection remains the treatment of choice, ensuring a favourable prognosis and minimal risk of recurrence.
Conclusion:
Effective management of giant cardiac haemangiomas requires early diagnosis, precise imaging, and complete surgical resection. Long-term follow-up is necessary to monitor for recurrence and ensure optimal outcomes.
