Recurrent pericardial tamponade from atrial hemangioma.
We encountered a 72-year-old woman with a left atrial hemangioma arising in the appendage and growing like an extracardiac mass. Life-threatening cardiac tamponade, recurrent over a 5-year clinical course, was the only sign of this rare tumor. The extraatrial growth pattern of the tumor made it difficult to distinguish the cardiac origin from a paracardiac mass. With the aid of cardiopulmonary bypass, the tumor was removed from the left atrium at the base of the appendage. Pathologic diagnosis was a combination of cavernous- and venous-type hemangioma. The postoperative course was uneventful, and the patient was doing well with no pericardial effusion at the 10-month follow-up.
Division of Cardiology, Shinkyo Hospital, Kagoshima, Japan. satasata@m.kufm.kagoshima-u.ac.jp
Naoyuki
N
Sata
Yukinori
Y
Moriyama
Naokazu
N
Hamada
Takashi
T
Horinouchi
Kenkichi
K
Miyahara
D000368:Aged; D020517:Atrial Appendage / Q000473:pathology* / Q000601:surgery; D002305:Cardiac Tamponade / Q000209:etiology*; D004452:Echocardiography; D005260:Female; D006338:Heart Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D006392:Hemangioma, Cavernous / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D010490:Pericardial Effusion / Q000209:etiology / Q000601:surgery; D020519:Pericardiocentesis; D012008:Recurrence; D014057:Tomography, X-Ray Computed