Key result
Surgical resection of a large cardiac cavernous hemangioma encasing the left anterior descending artery provided symptom relief and histopathologic confirmation in a 49-year-old female.
Why the study?
Primary cardiac tumors are exceedingly rare, with cardiac hemangiomas accounting for only 1% to 3% of benign cardiac tumors, making their diagnosis and management challenging.
Case Report (n=1)
Multimodal imaging is crucial for characterizing rare cardiac masses, and surgical resection remains the definitive treatment for cardiac hemangiomas to provide symptom relief and diagnosis.
Resection may relieve symptoms in rare cardiac hemangiomas; leaves open optimal imaging and management strategies beyond single cases.
Primary cardiac tumors are exceedingly rare, with cardiac hemangiomas constituting 1% to 3% of benign cardiac tumors, making diagnosis and management challenging. A 49-year-old female presented with progressive chest tightness over several years. Multimodal imaging revealed a large cardiac mass within the pericardial space, encasing the left anterior descending artery. Following an inconclusive tissue sampling attempt, surgical resection was performed to guide therapy. Histopathology confirmed cardiac cavernous hemangioma. Multimodal imaging is crucial for characterizing cardiac masses and guiding biopsy and treatment strategies (eg, surgical for sarcoma if feasible versus nonsurgical for lymphoma). Cardiac hemangiomas often present with nonspecific symptoms. Surgical resection remains the definitive treatment, providing symptom relief and histopathologic confirmation.
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Samhan et al. (2025) conducted a case report in Primary cardiac mass (cardiac cavernous hemangioma) (n=1). Surgical resection was evaluated on Symptom relief and histopathologic confirmation. Surgical resection of a large cardiac cavernous hemangioma encasing the left anterior descending artery provided symptom relief and histopathologic confirmation in a 49-year-old female.
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