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(Circulation. 2002;106:2520.)
© 2002 American Heart Association, Inc.

Images in Cardiovascular Medicine

Cardiac Hemangioma

Huang-Joe Wang, MD; Jiunn-Lee Lin, MD; Fang-Yue Lin, MD, PhD

From the Departments of Internal Medicine (H.-J.W., J.-L.L.) and Surgery (F.-Y.L.), National Taiwan University Hospital, Taipei, Taiwan.

Correspondence to Jiunn-Lee Lin, MD, Cardiology Section, Department of Internal Medicine, National Taiwan University Hospital, No 7, Chung-Shan South Rd, Taipei, 100, Taiwan. E-mail jiunn{at}ha.mc.ntu.edu.tw

A39-year-old man presented with a one-year history of intermittent dyspnea on exertion associated with right upper quadrant abdominal pain. A chest radiograph was normal. An intracardiac mass was found incidentally by abdominal ultrasonography, which revealed a normal hepatobiliary system. Transthoracic echocardiography revealed a wide-based tumor located in the right atrium (RA) (Figure, A). There was no evidence of tumor mobility or pericardial effusion. Ultrafast computed tomography confirmed a huge tumor (6x4x3 cm) with soft tissue density inside of the RA (Figure, B). At operation, a sponge-like tumor attached to the anterior RA wall was excised en bloc (Figure, C). On histological examination, it was a hemangioma (Figure, D). The patient made an uneventful recovery and was discharged 1 week later.

View larger version (81K): [in this window] [in a new window]   A, Transthoracic echocardiography shows the RA tumor. The apical 4-chamber view revealed a tumor originating from the internal surface of the RA free wall and protruding into the RA cavity. There was no pericardial effusion. B, Ultrafast computed tomography shows the tumor originating from the anterior RA wall. C, The excised gross tumor. D, Histological examination showing communicating vascular channels filled with red blood cells.

Footnotes

The editor of Images in Cardiovascular Medicine is Hugh A. McAllister, Jr, MD, Chief, Department of Pathology, St Luke’s Episcopal Hospital and Texas Heart Institute, and Clinical Professor of Pathology, University of Texas Medical School and Baylor College of Medicine.

Circulation encourages readers to submit cardiovascular images to the Circulation Editorial Office, St Luke’s Episcopal Hospital/Texas Heart Institute, 6720 Bertner Ave, MC1-267, Houston, TX 77030.

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