Key result
Surgical excision of a 13 cm right atrial mass in a 72-year-old woman presenting with ascites revealed a rare giant cardiac hemangioma.
Case Report (n=1)
Giant cardiac hemangiomas can present with signs of right heart failure such as ascites and may be misdiagnosed as atrial myxomas on initial biopsy.
Giant right atrial masses may be misclassified by transjugular biopsy; leaves open optimal preoperative differentiation from myxoma.
Introduction: Cardiac hemangiomas are slow-growing benign tumours of the heart. Patients may be asymptomatic or present a multitude of signs or symptoms. Methods: We report herein the case of a 72-year-old woman with a giant right atrial mass. The patient suffers from abdominal swelling related to ascites. The histological examination of the tranjugular biopsy suspected an atrial myxoma. Results: The patient was scheduled for surgical excision of the cardiac tumour. Radical resection of a 13 cm mass was performed. The histological diagnosis revealed cardiac hemangioma. Conclusion: Cardiac hemangiomas can rarely grow larger than 5 cm, cause few symptoms, and are easily confused with atrial myxomas. Hepatomegaly and ascites may be signs of cardiac hemangioma.
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Salsano et al. (2025) conducted a case report in Giant right atrial hemangioma (n=1). Surgical excision was evaluated on Histological diagnosis. Surgical excision of a 13 cm right atrial mass in a 72-year-old woman presenting with ascites revealed a rare giant cardiac hemangioma.
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