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01.12.2019 | Case report | Ausgabe 1/2019 Open Access

Journal of Cardiothoracic Surgery 1/2019

Large left atrial cavernous hemangioma, a case report

Zeitschrift:
Journal of Cardiothoracic Surgery > Ausgabe 1/2019
Autoren:
Jian Xu, Hulin Piao, Duo Wang, Yong Wang, Bo Li, Tiance Wang, Zhicheng Zhu, Dan Li, Rihao Xu, Kexiang Liu
Wichtige Hinweise

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Abstract

Background

Cardiac cavernous hemangiomas are extremely rare and usually difficult to be diagnosed for being asymptomatic.

Case presentation

An asymptomatic 56-year-old woman was hospitalized due to a heart mass found by chest computed tomography (CT) during her annual physical examination. Coronary computed tomography angiography (CTA) disclosed a tumorous lesion, located in the left atrial roof and extended to the posterior wall of the aortic root and surrounding the left main coronary artery. However, there was no communicating branches between the hemangioma and coronary artery and no coronary artery stenosis. The tumor was excised with low-frequency electrocautery under cardiopulmonary bypass. The histopathological examination indicated the mass a cavernous hemangioma. The patient was discharged with an uneventful recovery.

Conclusions

Here we presented a rare case of successfully excision of a cavernous hemangioma involving the left atrial roof and left coronary artery. We advocate adequate exposure and complete surgical excision with low-frequency electrocautery to avoid remnants and excessive resection.
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