title: Incidental finding of a giant intracardiac angioma infiltrating both ventricles in a 35-year-old woman: a case report.
abstract: BACKGROUND
  Primary cardiac tumors are rare and often asymptomatic or present with unspecific symptoms. Benign cardiac tumors of vascular origin are especially rare, with only few existing data in the literature.
  
  
  METHODS
  A 35-year-old Caucasian female patient presented to our department with an asymptomatic giant intracardiac angioma infiltrating both ventricles. Evaluation of this tumor involved electrocardiography, echocardiography, cardiac magnetic resonance imaging, coronary angiography, an open myocardial biopsy, and histological examination of the resected specimen. Because our patient was asymptomatic, she was managed conservatively with regular follow-up. We discuss the treatment options available in comparison with similar cases.
  
  
  CONCLUSIONS
  Diagnosis and therapy of benign cardiac tumors, especially of asymptomatic lesions, can be a challenge. There is no evidence available to help in the management of such patients. An extensive evaluation is needed with different imaging modalities, and case-specific decisions should be made that involve experts in cardiology, cardio-oncology, and heart surgery.
authors.affiliation: Department of Cardiology, University of Heidelberg, Im Neuenheimer Feld 410, 69120, Heidelberg, Germany. Kristof.Hirschberg@med.uni-heidelberg.de.
authors.forename: K
authors.initials: K
authors.lastname: Hirschberg
authors.affiliation: Department of Cardiology, University of Heidelberg, Im Neuenheimer Feld 410, 69120, Heidelberg, Germany.
authors.forename: F
authors.initials: F
authors.lastname: Wiedmann
authors.affiliation: Department of Cardiology, University of Heidelberg, Im Neuenheimer Feld 410, 69120, Heidelberg, Germany.
authors.forename: E
authors.initials: E
authors.lastname: Zitron
authors.affiliation: Department of Cardiology, University of Heidelberg, Im Neuenheimer Feld 410, 69120, Heidelberg, Germany.
authors.forename: P
authors.initials: P
authors.lastname: Fortner
authors.affiliation: Department of Cardiology, University of Heidelberg, Im Neuenheimer Feld 410, 69120, Heidelberg, Germany.
authors.forename: J H
authors.initials: JH
authors.lastname: Riffel
authors.affiliation: Department of Cardiology, University of Heidelberg, Im Neuenheimer Feld 410, 69120, Heidelberg, Germany.
authors.forename: E
authors.initials: E
authors.lastname: Chorianopoulos
authors.affiliation: Institute of Pathology, University of Heidelberg, Im Neuenheimer Feld 220/221, 69120, Heidelberg, Germany.
authors.forename: G
authors.initials: G
authors.lastname: Gdynia
authors.affiliation: Institute of Pathology, University of Heidelberg, Im Neuenheimer Feld 220/221, 69120, Heidelberg, Germany.
authors.forename: G
authors.initials: G
authors.lastname: Mechtersheimer
authors.affiliation: Fürst-Stirum-Klinik, Gutleutstraße 1-14, 76646, Bruchsal, Germany.
authors.forename: M
authors.initials: M
authors.lastname: Andrassy
authors.affiliation: Department of Cardiac Surgery, University of Heidelberg, Heidelberg, Germany.
authors.forename: G
authors.initials: G
authors.lastname: Szabó
authors.affiliation: Department of Cardiac Surgery, University of Heidelberg, Heidelberg, Germany.
authors.forename: R
authors.initials: R
authors.lastname: Arif
authors.affiliation: Department of Cardiology, University of Heidelberg, Im Neuenheimer Feld 410, 69120, Heidelberg, Germany.
authors.forename: H A
authors.initials: HA
authors.lastname: Katus
authors.affiliation: Department of Cardiology, University of Heidelberg, Im Neuenheimer Feld 410, 69120, Heidelberg, Germany.
authors.forename: S J
authors.initials: SJ
authors.lastname: Buss
mesh_terms: D000328:Adult; D001706:Biopsy / Q000379:methods; D017023:Coronary Angiography; D004452:Echocardiography; D005260:Female; D006338:Heart Neoplasms / Q000175:diagnosis*; D006352:Heart Ventricles; D006391:Hemangioma / Q000175:diagnosis*; D006801:Humans; D033162:Incidental Findings; D018810:Magnetic Resonance Angiography; D064847:Multimodal Imaging; D009206:Myocardium / Q000473:pathology
keywords: CMR; Cardiac tumor; Echocardiography; Intracardiac angioma