title: Small cardiac hemangioma: a challenge for diagnosis and dilemma for management.
abstract: A small cardiac tumor in the left ventricle was discovered incidentally in a 53-year-old patient by echocardiography and was further confirmed by magnetic resonance imaging. A clinical diagnosis of "fibroelastoma or myxoma with an atypical location?" was made, and an uneventful surgical resection was carried out in consideration of the potential embolic risk. The histologic analysis revealed a capillary hemangioma. A posteriori, we reviewed the coronary angiography performed 2 years earlier and found a typical "tumor blush" sign. We discuss the diagnostic features of this case and the alternative approaches that could have been chosen, including a conservative approach with close follow-up.
authors.affiliation: Department of Cardiovascular Surgery and Heart Transplantation, CHU-Nancy, Nancy, France; Universite de Lorraine, Nancy, France.
authors.forename: Yihua
authors.initials: Y
authors.lastname: Liu
authors.affiliation: Department of Cardiovascular Surgery and Heart Transplantation, CHU-Nancy, Nancy, France; Universite de Lorraine, Nancy, France. Electronic address: pablomaureira@hotmail.com.
authors.forename: Pablo
authors.initials: P
authors.lastname: Maureira
authors.affiliation: Department of Cardiology, CHU-Nancy, Nancy, France.
authors.forename: Christine
authors.initials: C
authors.lastname: Selton-Suty
authors.affiliation: Department of Cardiovascular Surgery and Heart Transplantation, CHU-Nancy, Nancy, France; Universite de Lorraine, Nancy, France.
authors.forename: Thierry
authors.initials: T
authors.lastname: Folliguet
authors.affiliation: Universite de Lorraine, Nancy, France; Department of Medical Imaging, CHU-Nancy, Nancy, France.
authors.forename: Pierre-Yves
authors.initials: PY
authors.lastname: Marie
authors.affiliation: Universite de Lorraine, Nancy, France; Department of Medical Imaging, CHU-Nancy, Nancy, France.
authors.forename: Damien
authors.initials: D
authors.lastname: Mandry
authors.affiliation: Department of Cardiovascular Surgery and Heart Transplantation, CHU-Nancy, Nancy, France; Universite de Lorraine, Nancy, France.
authors.forename: Jean-Pierre
authors.initials: JP
authors.lastname: Villemot
authors.affiliation: Universite de Lorraine, Nancy, France.
authors.forename: Nguyen
authors.initials: N
authors.lastname: Tran
authors.affiliation: Department of Anatomo-Pathology, CHU-Nancy, Nancy, France.
authors.forename: Virginie
authors.initials: V
authors.lastname: Cahn
mesh_terms: D006348:Cardiac Surgical Procedures / Q000379:methods; D003937:Diagnosis, Differential; D004452:Echocardiography / Q000379:methods; D005500:Follow-Up Studies; D006338:Heart Neoplasms / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery*; D006352:Heart Ventricles / Q000473:pathology / Q000601:surgery; D018324:Hemangioma, Capillary / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery*; D006801:Humans; D007090:Image Interpretation, Computer-Assisted; D019028:Magnetic Resonance Imaging, Cine / Q000379:methods; D008297:Male; D008875:Middle Aged; D009232:Myxoma / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery; D009361:Neoplasm Invasiveness / Q000473:pathology; D009367:Neoplasm Staging; D018570:Risk Assessment; D013997:Time Factors; D016896:Treatment Outcome; D047368:Tumor Burden
keywords: 18