[Haemangioma of the right atrium revealed by cardiogenic shock].
Intracardiac haemangioma is a very rare primary benign tumour. A 20 year old female patient, with no significant previous medical history, presented to the emergency department with cardiovascular collapse and vague abdominal pains, with no peripheral signs of cardiac failure. The electrocardiogram showed sinus rhythm with diffuse reploarisation disturbances. Chest radiography revealed cardiomegaly (cardiothoracic index of 0.67) with a right paracardial opacity. Abdominal ultrasound showed a moderate peritoneal effusion and transthoracic ultrasound showed a tumour occupying the right atrial cavity but sparing the interatrial septum. The patient underwent emergency open heart surgery for tumour resection and right atrial wall repair with autologous pericardium. Histology confirmed a haemangioma. Follow-up at one month was uneventful. The clinical, diagnostic and therapeutic features of this case are underlined.
Marmade
L
L
Service de chirurgie cardiovasculaire B, hôpital Avicenne, Rabat, Maroc. marmade1@caramail.com
Laaroussi
M
M
Elkouache
M
M
Khales
Y
Y
Sefiani
A
A
Elakil
R
R
Saber
M
M
Filal
J
J
Elhaitem
N
N
Benomar
Mh
M
D000328:Adult; D004562:Electrocardiography; D005260:Female; D006325:Heart Atria / Q000473:pathology*; D006338:Heart Neoplasms / Q000150:complications* / Q000473:pathology / Q000601:surgery*; D006391:Hemangioma / Q000150:complications* / Q000473:pathology / Q000601:surgery*; D006801:Humans; D012770:Shock, Cardiogenic / Q000209:etiology*; D016896:Treatment Outcome