Pericardial hemangioma vascularized via left anterior descending

Excerpt

A 58-year-old female was suffering from recurrent pericardial effusion requiring repeated pericardiocentesis for 3 years. In all aspirations the effusion was clear without any signs of hemorrhage. Testing for adenosine desaminase, interferon gamma and PCR to determine the presence of DNA of Mycobacterium tuberculosis was negative. There is no history of acute pericarditis. Since 1999 she had recurrent deep venous thrombosis (DVT) with pulmonary embolism. For secondary prevention after pulmonary embolism she received low-dose heparin subcutaneously twice daily instead of oral anticoagulation, because of a tendency to fall. The patient reports a history of a dendroglioma, which was diagnosed in 1999 and treated with radiation. The patient had several cardiovascular risk factors like insulin-dependent diabetes mellitus, hyperlipoproteinemia and obesity. On review of family history, the patient denied any history of cardiac disease, congestive heart failure, arrhythmias or sudden death. …