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Medical Science Monitor Basic Research


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

Challenging differential diagnosis, Rare disease, Educational Purpose (only if useful for a systematic review or synthesis)

Mahmoud Mazen, Ahmed Abdelgawad, Ahmed El-Shemy, Mona Ramadan, Hani Al-Batrek, Ousama Mahdi, Mahmoud M. Ramadan

Egypt Department of Cardiothoracic Surgery, National Heart Institute, Ministry of Health, Imbaba, Giza, Egypt

Am J Case Rep 2016; 17:462-465

DOI: 10.12659/AJCR.897272

Available online: 2016-07-07

Published: 2016-07-07


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.

Keywords: Cardiac Surgical Procedures - methods, Adult, Diagnosis, Differential, Echocardiography, Transesophageal, Heart Neoplasms - surgery, Heart Septum, Hemangioma - surgery, Magnetic Resonance Imaging, Cine