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Case Reports
. 2016 Jul 7:17:462-5.
doi: 10.12659/ajcr.897272.

Noncomplicated Excision of a Mobile Pedunculated Septal Hemangioma of the Left Ventricle

Mahmoud Mazen  1 , Ahmed Abdelgawad  1 , Ahmed El-Shemy  1 , Mona Ramadan  2 , Hani Al-Batrek  2 , Ousama Mahdi  3 , Mahmoud M Ramadan  4
Affiliations
Case Reports

Noncomplicated Excision of a Mobile Pedunculated Septal Hemangioma of the Left Ventricle

Mahmoud Mazen et al. Am J Case Rep. .

Abstract

BACKGROUND Cardiac tumors are quite rare, and differential diagnosis of them is challenging. CASE REPORT A young lady with a history of palpitations, dyspnea, and fatigue was proven by transthoracic echocardiography and cardiac magnetic resonance imaging to have a mobile left ventricular mass with rounded contour attached to the mid-part of the interventricular septum. The mass was approached via a posterior inter-atrial approach to avoid left ventriculotomy and provide adequate exposure to completely excise the tumor and control its pedicle with minimal cardiac trauma. Histological examination of the mass was diagnostic of capillary and sinusoidal hemangioma. CONCLUSIONS Complete excision of cardiac hemangioma is recommended once it is diagnosed, for histopathologic diagnosis and because of the possibility of serious complications.

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Figures

Figure 1.
Figure 1.
Preoperative trans-thoracic echocardiogram images in both parasternal long (A) and short (B) axis views showing a mobile 1.3×1.7 cm left ventricular mass with rounded contour and smooth surface attached to the mid-part of the interventricular septum
Figure 2.
Figure 2.
T1- and T2-weighted cardiac magnetic resonance imaging photos showing the small, pedunculated, rounded mobile mass attached to the left side of the interventricular septum in multiple views (arrows).
Figure 3.
Figure 3.
Intra-operative gross appearance of the extracted left ventricular mass after total excision.
Figure 4.
Figure 4.
Histopathologic examination of the mass showing proliferated capillary-size vascular channels in a lobular pattern with irregularly dilated and congested thin-walled gaped blood vessels; this picture is diagnostic of capillary and sinusoidal hemangioma.
See this image and copyright information in PMC

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