Giant right atrial hemangioma: Correlation between magnetic resonance imaging and histopathologic evaluation Cristina Sánchez-Enrique, MD, David Vivas,

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Presentation transcript:

Giant right atrial hemangioma: Correlation between magnetic resonance imaging and histopathologic evaluation Cristina Sánchez-Enrique, MD, David Vivas, MD, PhD, Manuel Carnero Alcázar, MD, PhD, Isidre Vilacosta, MD, PhD The Journal of Thoracic and Cardiovascular Surgery Volume 150, Issue 4, Pages e51-e53 (October 2015) DOI: 10.1016/j.jtcvs.2015.06.034 Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 A-C, Two-dimensional echocardiography. A, An apical 4-chamber view reveals a well-circumscribed, circular hyperechoic mass (arrow) located in the right atrium. B and C, Subcostal views demonstrate hypoechoic areas within the mass (arrows). D, A 4-chamber cine steady-state free precession cardiac magnetic resonance imaging frame demonstrates a hypointense spherical mass within the right atrium (arrow). E, A perfusion sequence of cardiac magnetic resonance imaging shows areas of avid enhancement of the tumor. F, A coronary angiogram shows the right coronary artery feeding the tumor and delineates a tumor blush (arrows). RV, Right ventricle; LV, left ventricle; RA, right atrium; LA, left atrium. The Journal of Thoracic and Cardiovascular Surgery 2015 150, e51-e53DOI: (10.1016/j.jtcvs.2015.06.034) Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 A, Intraoperative image demonstrates a blue right atrial mass (arrow). B, Intraoperative image demonstrates a pericardium patch closing the right atrium wall. C, Photograph shows the resected tumor with a capsule. D, Cross-sectioning reveals a spongy quality and white areas of degeneration. E and F, Histologic examination shows small thick- and thin-walled vessels with cavernous spaces (hematoxylin and eosin stain). G and H, Masson trichrome stain reveals fibrous areas and demonstrates the fibrous origin of the capsule. The Journal of Thoracic and Cardiovascular Surgery 2015 150, e51-e53DOI: (10.1016/j.jtcvs.2015.06.034) Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions

Blue right atrial mass corresponding to a giant hemangioma. The Journal of Thoracic and Cardiovascular Surgery 2015 150, e51-e53DOI: (10.1016/j.jtcvs.2015.06.034) Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions