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Cardiac Hemangioma
Journal of the American College of Cardiology © 2009 by the American College of Cardiology Foundation Published by Elsevier Inc.
Vol. 54, No. 12, 2009 ISSN 0735-1097/09/$36.00 doi:10.1016/j.jacc.2009.03.085
IMAGES IN CARDIOLOGY
Cardiac Hemangioma Wibke Stepper, MD,* Martin Dorsel, MD,† Alexander C. Bunck, MD,‡ David Maintz, MD,‡ Günter Breithardt, MD,* Helmut Baumgartner, MD,*§ Christian Vahlhaus, MD* Muenster and Ahaus, Germany
From the *Department of Cardiology and Angiology, University Hospital of Muenster, Muenster, Germany; †Department of Internal Medicine, Marienhospital Ahaus, Ahaus, Germany; and the ‡Department of Clinical Radiology and the §Adult Congenital Heart Disease Centre Münster (EMAHZentrum), University of Muenster, Muenster, Germany. Manuscript received January 22, 2009; revised manuscript received March 10, 2009, accepted March 16, 2009.
A
22-year-old woman with monomorphic ventricular tachycardias (240 beats/min) exhibited a strongly vascularized tumor (7.4 ⫻ 5.2 cm) of the left ventricular free wall on echocardiography (A, Online Video 1). Magnetic resonance imaging demonstrated gadolinium contrast enhancement (B). The hyperintense tumor (T2-weighted) did not infiltrate epimyocardial or endomyocardial layers. Coronary angiography showed dilation of coronary arteries proximal of the tumor supply (C, Online Video 2). The tumor was perfused from the first diagonal branch. We diagnosed a benign cardiac hemangioma. Consequently, we refrained from sequential coiling, tissue sampling, or complete operative removal. Implantable cardioverter-defibrillator implantation was performed and follow-up was scheduled. Ao ⫽ aortic branch; LA ⫽ left atrium; LAD ⫽ left anterior descending; LV ⫽ left ventricle; P ⫽ pulmonary artery; RCX ⫽ right circumflex artery.
Vol. 54, No. 12, 2009 ISSN 0735-1097/09/$36.00 doi:10.1016/j.jacc.2009.03.085
IMAGES IN CARDIOLOGY
Cardiac Hemangioma Wibke Stepper, MD,* Martin Dorsel, MD,† Alexander C. Bunck, MD,‡ David Maintz, MD,‡ Günter Breithardt, MD,* Helmut Baumgartner, MD,*§ Christian Vahlhaus, MD* Muenster and Ahaus, Germany
From the *Department of Cardiology and Angiology, University Hospital of Muenster, Muenster, Germany; †Department of Internal Medicine, Marienhospital Ahaus, Ahaus, Germany; and the ‡Department of Clinical Radiology and the §Adult Congenital Heart Disease Centre Münster (EMAHZentrum), University of Muenster, Muenster, Germany. Manuscript received January 22, 2009; revised manuscript received March 10, 2009, accepted March 16, 2009.
A
22-year-old woman with monomorphic ventricular tachycardias (240 beats/min) exhibited a strongly vascularized tumor (7.4 ⫻ 5.2 cm) of the left ventricular free wall on echocardiography (A, Online Video 1). Magnetic resonance imaging demonstrated gadolinium contrast enhancement (B). The hyperintense tumor (T2-weighted) did not infiltrate epimyocardial or endomyocardial layers. Coronary angiography showed dilation of coronary arteries proximal of the tumor supply (C, Online Video 2). The tumor was perfused from the first diagonal branch. We diagnosed a benign cardiac hemangioma. Consequently, we refrained from sequential coiling, tissue sampling, or complete operative removal. Implantable cardioverter-defibrillator implantation was performed and follow-up was scheduled. Ao ⫽ aortic branch; LA ⫽ left atrium; LAD ⫽ left anterior descending; LV ⫽ left ventricle; P ⫽ pulmonary artery; RCX ⫽ right circumflex artery.