Giant Cardiac Cavernous Hemangioma

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Presentation transcript:

Giant Cardiac Cavernous Hemangioma Eric Unger, MD, Joseph Costic, DO, Glenn Laub, MD The Annals of Thoracic Surgery Volume 100, Issue 1, Pages 322-325 (July 2015) DOI: 10.1016/j.athoracsur.2014.08.056 Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) T2-weighted axial image and (B) coronal image from the initial magnetic resonance imaging. (C, D) The mass was enlarged on repeat magnetic resonance imaging performed 7 years later. On all images, an encapsulated large mass, marked by asterisks, is seen in relation to the cardiac chambers, with mass effect on the right atrium. The Annals of Thoracic Surgery 2015 100, 322-325DOI: (10.1016/j.athoracsur.2014.08.056) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 The mass is marked in this echocardiographic image with an asterisk. The mitral valve (MV) and tricuspid valve (TV) are also visualized. The Annals of Thoracic Surgery 2015 100, 322-325DOI: (10.1016/j.athoracsur.2014.08.056) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 (A) The cavernous hemangioma is present under the epicardial surface, at the inferior border of the heart. (B) The gross specimen reveals an intact capsule. The Annals of Thoracic Surgery 2015 100, 322-325DOI: (10.1016/j.athoracsur.2014.08.056) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Hematoxylin-and-eosin stained slide (original magnification, ×4), showing the prominence of thin-walled, dilated vessels. The Annals of Thoracic Surgery 2015 100, 322-325DOI: (10.1016/j.athoracsur.2014.08.056) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions