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Case Reports
. 2012 Jan;5(1):81-4.
doi: 10.4103/0974-2069.93719.

Right atrial hemangioma in the newborn: Utility of fetal imaging

Affiliations
Case Reports

Right atrial hemangioma in the newborn: Utility of fetal imaging

Christopher Baird et al. Ann Pediatr Cardiol. 2012 Jan.

Abstract

We present a rare primary right atrial tumor diagnosed in-utero with fetal echocardiography, and further characterized as a congenital hemangioma with magnetic resonance imaging. Surgical resection was done six days after birth. This case illustrates the complementary roles of evolving advanced imaging techniques for fetuses and infants with congenital heart disease that allows for surgery early in the neonatal period.

Keywords: Fetal echocardiography; hemangioma; right atrium.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1a
Figure 1a
Fetal echocardiogram performed at 37-weeks gestation. Four-chamber view demonstrates nonobstructive 16 × 19 mm right atrial mass
Figure 1b
Figure 1b
Parasternal long-axis post-natal transthoracic echocardiogram reveals a non-obstructive right atrial mass without hemodynamic compromise
Figure 2
Figure 2
T2-weighted MRI shows a hyper-intense 1.9 × 1.4 × 1.4 cm mass arising from the infero-medial wall of the right atrium interposed between the inferior vena cava and tricuspid valve. The mass demonstrated a focal area of high attenuation in its lateral portion on pre-contrast T1-weighted imaging, suggesting a hemorrhagic or proteinaceous component
Figure 3a
Figure 3a
A Intra-operative image of right atrial mass viewed from the surgeon's perspective. It had attachments to the right atrial free wall and septum
Figure 3b
Figure 3b
Resected right atrial mass

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