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Open Access 01-12-2017 | Case report

Debulking surgery for venous hemangioma arising from the epicardium: report of a case

Authors: Daichi Shikata, Takahiro Nakagomi, Yujiro Yokoyama, Yukiko Yamada, Masato Nakajima, Toshio Oyama, Taichiro Goto

Published in: World Journal of Surgical Oncology | Issue 1/2017

Abstract

Background

Cardiac hemangiomas are rare benign vascular tumors that can occur in any cardiac layer: endocardium, myocardium, or epicardium. Histologically, cardiac hemangiomas may be classified as capillary, cavernous, or arteriovenous; venous hemangiomas are extremely rare.

Case presentation

A 46-year-old man reported experiencing precordial discomfort. Computed tomography revealed a massive tumor adjacent to the right ventricle. The right coronary artery was found to be located at the center of the tumor. Cardiovascular angiography showed that the artery was completely encased by the tumor without any obstruction and that the right ventricular lumen was compressed by the tumor. Surgical debulking of the tumor was performed under cardiopulmonary bypass, and the frozen section led to a diagnosis of benign hemangioma. The tumor was debulked as much as possible until the right coronary artery appeared. For decompression of the heart, the pericardium was left open to the thoracic cavity and unsutured. Histopathologic examination revealed a diagnosis of epicardial venous hemangioma.

Conclusions

Cardiac hemangioma should be included in the differential diagnosis of mediastinal tumor in reference to the location and flow of the coronary artery. Surgical resection, or at least tumor debulking, is required to confirm the diagnosis and prevent further complications and has a favorable clinical outcome.

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Title: Debulking surgery for venous hemangioma arising from the epicardium: report of a case
Authors: Daichi Shikata
Takahiro Nakagomi
Yujiro Yokoyama
Yukiko Yamada
Masato Nakajima
Toshio Oyama
Taichiro Goto
Publication date: 01-12-2017
Publisher: BioMed Central
Published in: World Journal of Surgical Oncology / Issue 1/2017
Electronic ISSN: 1477-7819
DOI: https://doi.org/10.1186/s12957-017-1152-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Debulking surgery for venous hemangioma arising from the epicardium: report of a case

Abstract

Background

Case presentation

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Case presentation

Conclusions

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