Unexpected diagnosis: large hemangioma in the interatrial septum.


Journal

Journal of cardiothoracic surgery
ISSN: 1749-8090
Titre abrégé: J Cardiothorac Surg
Pays: England
ID NLM: 101265113

Informations de publication

Date de publication:
30 May 2024
Historique:
received: 04 07 2023
accepted: 28 01 2024
medline: 31 5 2024
pubmed: 31 5 2024
entrez: 30 5 2024
Statut: epublish

Résumé

Cardiac hemangiomas are very uncommon benign primary tumors. They are usually located preferentially in the right atrium and their location in the interatrial septum is extremely rare. We report the case of a 41-year-old patient who was admitted due to a stroke. The transthoracic echocardiogram revealed a large mass in the right atrium adhered to the interatrial septum. Suspecting an atrial myxoma, surgical intervention was performed confirming that the mass extended within the thickness of the interatrial septum, protruding into the right atrial cavity. The histologic report confirmed a hemangioma. Cardiac hemangiomas are rare primary tumors and are usually misdiagnosed as other cardiac tumors. Histopathological examination is essential for a definitive diagnosis.

Sections du résumé

BACKGROUND BACKGROUND
Cardiac hemangiomas are very uncommon benign primary tumors. They are usually located preferentially in the right atrium and their location in the interatrial septum is extremely rare.
CASE PRESENTATION METHODS
We report the case of a 41-year-old patient who was admitted due to a stroke. The transthoracic echocardiogram revealed a large mass in the right atrium adhered to the interatrial septum. Suspecting an atrial myxoma, surgical intervention was performed confirming that the mass extended within the thickness of the interatrial septum, protruding into the right atrial cavity. The histologic report confirmed a hemangioma.
CONCLUSIONS CONCLUSIONS
Cardiac hemangiomas are rare primary tumors and are usually misdiagnosed as other cardiac tumors. Histopathological examination is essential for a definitive diagnosis.

Identifiants

pubmed: 38816838
doi: 10.1186/s13019-024-02794-9
pii: 10.1186/s13019-024-02794-9
doi:

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

305

Informations de copyright

© 2024. The Author(s).

Références

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doi: 10.1186/s13019-019-1016-6 pubmed: 31690322 pmcid: 6833265
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doi: 10.1016/j.athoracsur.2015.02.064 pubmed: 25921258
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doi: 10.1016/j.jelectrocard.2017.04.014
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pubmed: 9566071 pmcid: 325509
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Botha J, Ihlberg L, Elhenawy A, Abbott M, Butany J, Paul N, et al. A giant cavernous hemangioma of the heart. Ann Thorac Surg. 2010;90(1):293–5.
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Auteurs

Begoña Bernal-Gallego (B)

Cardiothoracic Surgery Department, Hospital Universitario de la Princesa, Calle de Diego de León, 62, Madrid, Span, 28006, Spain. bbg24@hotmail.com.

Verónica Hernández-Jiménez (V)

Cardiology Department, Hospital Infanta Cristina, Av. 9 de Junio, 2, Parla, Madrid, 28981, Spain.

Lidia Castillo (L)

Histopathology Department Hospital Universitario de la Princesa, Calle de Diego de León, 62, Madrid, 28006, Spain.

Rosa González-Davia (R)

Cardiology Department, Hospital Infanta Cristina, Av. 9 de Junio, 2, Parla, Madrid, 28981, Spain.

Nieves De Antonio-Antón (N)

Cardiothoracic Surgery Department, Hospital Universitario de la Princesa, Calle de Diego de León, 62, Madrid, Span, 28006, Spain.

Guillermo Reyes-Copa (G)

Cardiothoracic Surgery Department, Hospital Universitario de la Princesa, Calle de Diego de León, 62, Madrid, Span, 28006, Spain.

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