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CASE REPORT
Year : 2015  |  Volume : 25  |  Issue : 1  |  Page : 31-33

Multimodality imaging of a silent cardiac hemangioma


1 Department of Cardiological, Division of Cardiology, Misericordia Hospital, Grosseto, Italy
2 Department of Cardiac Surgery, University of Siena, Siena, Italy
3 Department of Pathology, University of Siena, Siena, Italy

Correspondence Address:
Alberto Cresti
Department of Cardiological, Division of Cardiology, Misericordia Hospital Grosseto, Via Etiopia 131, 580 100, Grosseto
Italy
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2211-4122.158427

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A 74-year-old man underwent echocardiographic exam for hypertension screening. A fixed plurilobulated mass originating from the right ventricular lateral wall and occupying half of the cavity was incidentally diagnosed. On cardiac magnetic resonance (CMR) it appeared homogeneous, intermediate-to-high signal on T1-weighted, and diffusely hyperintense on T2-weighted images. First pass enhancement was late and heterogeneous and no late gadolinium enhancement was present. Computed tomography (CT) showed no extracardiac infiltration, the feeding artery was a branch of therightcoronary artery. The tumor was excised and histological examination demonstrated a hemangioma of the cavernous type. The postoperative course was uneventful. From 1998 to 2014, four cardiac hemangiomas have been diagnosed in our Department, accounting for 8.7% of all primary cardiac tumors and for 9.5% of all benign forms; estimated population prevalence was 0.11/100.000 inhabitants/year. The hemodynamic consequences of unoperated cardiac hemangiomas cannot be predicted and therefore, resection is recommended.


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