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Incidental finding of a giant intracardiac angioma infiltrating both ventricles in a 35-year-old woman: a case report

Hirschberg, Kristof ; Wiedmann, Felix ; Zitron, Edgar ; Fortner, Philipp ; Riffel, Johannes H. ; Chorianopoulos, Emmanuel ; Gdynia, Georg ; Mechtersheimer, Gunhild ; Andrassy, Martin ; Szabó, Gábor ; Arif, Rawa ; Katus, Hugo A. ; Buss, Sebastian J.

In: Journal of Medical Case Reports, 10 (2016), Nr. 94. pp. 1-5. ISSN 1752-1947

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Download (2MB) | Lizenz: Creative Commons LizenzvertragIncidental finding of a giant intracardiac angioma infiltrating both ventricles in a 35-year-old woman: a case report by Hirschberg, Kristof ; Wiedmann, Felix ; Zitron, Edgar ; Fortner, Philipp ; Riffel, Johannes H. ; Chorianopoulos, Emmanuel ; Gdynia, Georg ; Mechtersheimer, Gunhild ; Andrassy, Martin ; Szabó, Gábor ; Arif, Rawa ; Katus, Hugo A. ; Buss, Sebastian J. underlies the terms of Creative Commons Attribution 3.0 Germany

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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. Case presentation: 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. Conclusion: 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.

Item Type: Article
Journal or Publication Title: Journal of Medical Case Reports
Volume: 10
Number: 94
Publisher: BioMed Central
Place of Publication: London
Date Deposited: 18 Apr 2016 13:12
Date: 2016
ISSN: 1752-1947
Page Range: pp. 1-5
Faculties / Institutes: Medizinische Fakultät Heidelberg > Medizinische Universitäts-Klinik und Poliklinik
Medizinische Fakultät Heidelberg > Chirurgische Universitätsklinik
Medizinische Fakultät Heidelberg > Pathologisches Institut
Subjects: 610 Medical sciences Medicine
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