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Case Reports
. 2013 Nov;29(6):562-4.

Silent Left Ventricular Hemangioma

Jenn-Yeu Song  1 , Shih-Ying Sung  1 , Po-Shun Hsu  1 , Chih-Yuan Lin  1 , Yi-Ting Tsai  1 , Chien-Sung Tsai  1
Affiliations
Case Reports

Silent Left Ventricular Hemangioma

Jenn-Yeu Song et al. Acta Cardiol Sin. 2013 Nov.

Abstract

Cardiac hemangiomas are extremely rare, and account for 5-10% of benign cardiac tumors. Most clinical presentations involve patient dyspnea on exertion and arrhythmia; asymptomatic patients are uncommon. A 45-year-old man had an asymptomatic left ventricular mass that was found incidentally during an echocardiogram. Magnetic resonance images showed an isointense protruding mass attached to the lateral wall of the left ventricle. The patient underwent a complete surgical resection with a good outcome. Histopathological examination revealed a cavernous hemangioma. The natural course of cardiac hemangiomas varies, and total resection is the favored treatment.

Key words: Asymptomatic; Cardiac hemangioma; Resection.

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Figures

Figure 1
Figure 1
(A) A round mass on the lateral wall of the left ventricle showed isointense signal in T1-weighted image (arrow). (B) Coronary angiography showed that septal branches feed the tumor as a characteristic “tumor blush” (arrow). (C) Preoperative transesophageal echocardiogram revealed a homogenous round mass (arrow) with a pedicle that originated from the lateral wall of the left ventricle.
Figure 2
Figure 2
The well-defined soft encapsulated mass measured 1.4 × 1.0 × 1.2 cm3.
See this image and copyright information in PMC

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