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[Capillary hemangioma of the heart: a case report]
J Manthey1, J P Mautner, O Klinge
1Abteilung Innere Medizin/Kardiologie, Kreiskrankenhaus am Plattenwald, Bad Friedrichshall.
Insights
A benign capillary hemangioma, a rare cardiac tumor, was incidentally found in a 52-year-old man. Surgical removal was successful, with no recurrence detected six months post-operation.
Area of Science:
- Cardiology
- Cardiac Surgery
- Pathology
Background:
- Cardiac tumors are rare, with hemangiomas being an uncommon subtype.
- Incidental findings of cardiac masses often require detailed investigation.
Observation:
- A 52-year-old male presented with an incidentally detected 1.5 cm globular mass in the left ventricle via echocardiography.
- Coronary angiography revealed a mobile, hypervascular lesion, suggesting a vascular origin.
Findings:
- Surgical excision of a pedunculated tumor from the anterolateral papillary muscle was performed.
- Histopathological analysis confirmed the mass as a benign capillary hemangioma.
Implications:
- This case highlights the importance of thorough diagnostic workup for incidentally discovered cardiac masses.
- Complete surgical resection appears to be an effective treatment for cardiac capillary hemangiomas, preventing recurrence.
Abstract:
In a 52-year-old man, within the left ventricle, a globular mass 1.5 cm in diameter was detected incidentally by echocardiography. Selective coronary angiography showed a mobile patch of hypervascularity suggesting the vascular nature of the cardiac mass. The patient was operated and a pedunculated tumor originating from the anterolateral papillary muscle was removed. Histological examination revealed a benign capillary hemangioma. Six months after surgery the patient was reevaluated by echocardiography. There was no evidence of tumor recurrence.