Intractable ventricular tachycardia secondary to cardiac hemangioma.
Cardiac tumors are rare and have a known association with ventricular dysrhythmias, especially ventricular tachycardia. We report a case of intractable ventricular tachycardia in a middle-aged man developing on a background of known, presumed benign, cardiac neoplasm. The ventricular tachycardia was controlled with long-term medical therapy. Surgical resection of the cardiac mass combined with cryoablation cured the dysrhythmia. Appearances at histopathology were those of a benign intracardiac hemangioma. Surgical treatment has an important but forgotten role in the management of ventricular arrhythmias, which is more definitive and carries a higher success rate compared with medical management.
Abu-Omar
Yasir
Y
Department of Cardiothoracic Surgery, Papworth Hospital, Cambridge, United Kingdom.
Mezue
Kenechukwu
K
Ali
Ayyaz
A
Kneeshaw
John D
JD
Goddard
Martin
M
Large
Stephen R
SR
D006338:Heart Neoplasms / Q000150:complications* / Q000601:surgery; D006391:Hemangioma / Q000150:complications* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D017180:Tachycardia, Ventricular / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery