Unexpected diagnosis: large hemangioma in the interatrial septum

Cardiac hemangiomas are very uncommon benign primary tumors. They are usually located preferentially in the right atrium and their location in the interatrial septum is extremely rare. We report the case of a 41-year-old patient who was admitted due to a stroke. The transthoracic echocardiogram reve...

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Published inJournal of cardiothoracic surgery Vol. 19; no. 1; pp. 305 - 4
Main Authors Bernal-Gallego, Begoña, Hernández-Jiménez, Verónica, Castillo, Lidia, González-Davia, Rosa, De Antonio-Antón, Nieves, Reyes-Copa, Guillermo
Format Journal Article
LanguageEnglish
Published England BioMed Central Ltd 30.05.2024
BioMed Central
BMC
Subjects
Adult
Asymptomatic
Atria
Atrial Septum - diagnostic imaging
Atrial Septum - pathology
Atrial Septum - surgery
Autopsies
Cardiac hemangioma
Case Report
Case reports
Diagnosis
Diagnosis, Differential
Echocardiogram
Echocardiography
Female
Heart
Heart Atria - diagnostic imaging
Heart Atria - pathology
Heart Neoplasms - diagnosis
Heart Neoplasms - diagnostic imaging
Heart Neoplasms - pathology
Heart Neoplasms - surgery
Hemangioma
Hemangioma - diagnosis
Hemangioma - diagnostic imaging
Hemangioma - surgery
Histopathological examination
Humans
Interatrial septum
Male
Medical prognosis
Myxoma
Pacemakers
Septum
Tomography
Tumors
Ultrasonic imaging
Interatrial septum
Cardiac hemangioma
Echocardiogram
Case report
Histopathological examination
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Summary:Cardiac hemangiomas are very uncommon benign primary tumors. They are usually located preferentially in the right atrium and their location in the interatrial septum is extremely rare. We report the case of a 41-year-old patient who was admitted due to a stroke. The transthoracic echocardiogram revealed a large mass in the right atrium adhered to the interatrial septum. Suspecting an atrial myxoma, surgical intervention was performed confirming that the mass extended within the thickness of the interatrial septum, protruding into the right atrial cavity. The histologic report confirmed a hemangioma. Cardiac hemangiomas are rare primary tumors and are usually misdiagnosed as other cardiac tumors. Histopathological examination is essential for a definitive diagnosis.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
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ISSN:1749-8090
1749-8090
DOI:10.1186/s13019-024-02794-9