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Cavernous haemangioma in the coronary sinus
M Yamaguchi1, M Shimizu, H Mabuchi
1Second Department of Internal Medicine, School of Medicine, Kanazawa University, Japan.
Heart (British Cardiac Society)
|July 11, 1998
Summary
A rare case of a cavernous haemangioma in the coronary sinus is presented. This vascular tumor caused coronary fistulas and was successfully removed surgically.
Area of Science:
- Cardiology
- Vascular Surgery
- Pathology
Background:
- Coronary artery anomalies are rare congenital conditions.
- Coronary sinus abnormalities can lead to complex cardiovascular presentations.
- Persistent left superior vena cava is a rare congenital anomaly.
Observation:
- A 58-year-old man presented with chest discomfort and dyspnea.
- Coronary angiography revealed fistulas between the coronary sinus and coronary arteries.
- The coronary sinus drained into a persistent left superior vena cava, not the right atrium.
Findings:
- A mass within the coronary sinus was suspected to be a thrombus.
- Transoesophageal echocardiography confirmed a mass in the atrioventricular groove.
- Surgical removal revealed the mass to be a cavernous haemangioma.
Implications:
- This case highlights a rare cause of coronary fistulas.
- Cavernous haemangioma should be considered in the differential diagnosis of coronary sinus masses.
- Successful surgical management of this rare anomaly is demonstrated.