Rheumatism as a cause of cardiac hemangioma: a rare case report and review of literature with special focus on etiology
Abstract Background Cardiac hemangioma is a very rare benign tumor of the heart which accounts for 1–2% of all primary cardiac tumors. Multiple cardiac hemangiomas are even rarer with only three cases published in the literature. Pathologically it can be divided into cavernous hemangioma, capillary...
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| Format: | Article |
| Language: | English |
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BMC
2023-04-01
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| Series: | BMC Cardiovascular Disorders |
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| Online Access: | https://doi.org/10.1186/s12872-023-03241-8 |
| _version_ | 1797841254315196416 |
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| author | Ting Xie Matiullah Masroor Xuan Chen Fujin Liu Jie Zhang Dayan Yang Cong Liu Mei Xiang |
| author_facet | Ting Xie Matiullah Masroor Xuan Chen Fujin Liu Jie Zhang Dayan Yang Cong Liu Mei Xiang |
| author_sort | Ting Xie |
| collection | DOAJ |
| description | Abstract Background Cardiac hemangioma is a very rare benign tumor of the heart which accounts for 1–2% of all primary cardiac tumors. Multiple cardiac hemangiomas are even rarer with only three cases published in the literature. Pathologically it can be divided into cavernous hemangioma, capillary hemangioma, arteriovenous hemangioma, mixed-type hemangioma, and so on. At present, the etiology of cardiac hemangioma is not completely clear. In this study, we present multiple cardiac hemangiomas located in the right atrium and discuss the new unreported possible cause (rheumatism) of cardiac hemangioma. This is the fourth case of multiple cardiac hemangiomas in the medical literature and the first time to present rheumatism as the cause of cardiac hemangioma. Case presentation A 53-year-old man presented to the clinic with intermittent chest tightness and shortness of breath for 2 years. On echocardiography, multiple soft tissue masses in the right atrium were found. The patient had rheumatic heart disease with severe mitral stenosis and moderate tricuspid regurgitation. Two masses with a diameter of about 20 mm and 15 mm were seen in the right atrium. One mass was located on the inferior margin of the fossa ovalis and the other was adjacent to the inferior vena cava. Both masses were successfully removed surgically. The mitral valve replacement and tricuspid valve plasty were performed at the same time. The postoperative histopathology results confirmed the diagnosis of cavernous hemangioma. Conclusion The occurrence of multiple hemangiomas in the heart is possible, especially in the presence of rheumatism. Rheumatism is one of the possible etiologies of cardiac hemangioma. Cardiologists and cardiac surgeons should be aware of its occurrence and should consider cardiac hemangioma as a differential diagnosis especially in rheumatic heart disease patients when they present with soft tissue cardiac masses for accurate management. |
| first_indexed | 2024-04-09T16:28:00Z |
| format | Article |
| id | doaj.art-e4de1f21086c445ca972d24281d4fd11 |
| institution | Directory Open Access Journal |
| issn | 1471-2261 |
| language | English |
| last_indexed | 2024-04-09T16:28:00Z |
| publishDate | 2023-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Cardiovascular Disorders |
| spelling | doaj.art-e4de1f21086c445ca972d24281d4fd112023-04-23T11:08:46ZengBMCBMC Cardiovascular Disorders1471-22612023-04-012311610.1186/s12872-023-03241-8Rheumatism as a cause of cardiac hemangioma: a rare case report and review of literature with special focus on etiologyTing Xie0Matiullah Masroor1Xuan Chen2Fujin Liu3Jie Zhang4Dayan Yang5Cong Liu6Mei Xiang7Department of Cardiac Surgery, Hainan General Hospital, Hainan Affiliated Hospital of Hainan Medical UniversityDepartment of Cardiovascular Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and TechnologyInternational College of Nursing, Hainan Vocational University of Science and TechnologyDepartment of Pathology, Hainan General Hospital, Hainan Affiliated Hospital of Hainan Medical UniversityDepartment of Ultrasound Medicine, Hainan General Hospital, Hainan Affiliated Hospital of Hainan Medical UniversityDepartment of Ultrasound Medicine, Hainan General Hospital, Hainan Affiliated Hospital of Hainan Medical UniversityDepartment of Ultrasound Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and TechnologyDepartment of Cardiac Surgery, Hainan General Hospital, Hainan Affiliated Hospital of Hainan Medical UniversityAbstract Background Cardiac hemangioma is a very rare benign tumor of the heart which accounts for 1–2% of all primary cardiac tumors. Multiple cardiac hemangiomas are even rarer with only three cases published in the literature. Pathologically it can be divided into cavernous hemangioma, capillary hemangioma, arteriovenous hemangioma, mixed-type hemangioma, and so on. At present, the etiology of cardiac hemangioma is not completely clear. In this study, we present multiple cardiac hemangiomas located in the right atrium and discuss the new unreported possible cause (rheumatism) of cardiac hemangioma. This is the fourth case of multiple cardiac hemangiomas in the medical literature and the first time to present rheumatism as the cause of cardiac hemangioma. Case presentation A 53-year-old man presented to the clinic with intermittent chest tightness and shortness of breath for 2 years. On echocardiography, multiple soft tissue masses in the right atrium were found. The patient had rheumatic heart disease with severe mitral stenosis and moderate tricuspid regurgitation. Two masses with a diameter of about 20 mm and 15 mm were seen in the right atrium. One mass was located on the inferior margin of the fossa ovalis and the other was adjacent to the inferior vena cava. Both masses were successfully removed surgically. The mitral valve replacement and tricuspid valve plasty were performed at the same time. The postoperative histopathology results confirmed the diagnosis of cavernous hemangioma. Conclusion The occurrence of multiple hemangiomas in the heart is possible, especially in the presence of rheumatism. Rheumatism is one of the possible etiologies of cardiac hemangioma. Cardiologists and cardiac surgeons should be aware of its occurrence and should consider cardiac hemangioma as a differential diagnosis especially in rheumatic heart disease patients when they present with soft tissue cardiac masses for accurate management.https://doi.org/10.1186/s12872-023-03241-8RheumatismHemangiomaCardiac surgeryBenign heart tumorsRheumatic heart disease |
| spellingShingle | Ting Xie Matiullah Masroor Xuan Chen Fujin Liu Jie Zhang Dayan Yang Cong Liu Mei Xiang Rheumatism as a cause of cardiac hemangioma: a rare case report and review of literature with special focus on etiology BMC Cardiovascular Disorders Rheumatism Hemangioma Cardiac surgery Benign heart tumors Rheumatic heart disease |
| title | Rheumatism as a cause of cardiac hemangioma: a rare case report and review of literature with special focus on etiology |
| title_full | Rheumatism as a cause of cardiac hemangioma: a rare case report and review of literature with special focus on etiology |
| title_fullStr | Rheumatism as a cause of cardiac hemangioma: a rare case report and review of literature with special focus on etiology |
| title_full_unstemmed | Rheumatism as a cause of cardiac hemangioma: a rare case report and review of literature with special focus on etiology |
| title_short | Rheumatism as a cause of cardiac hemangioma: a rare case report and review of literature with special focus on etiology |
| title_sort | rheumatism as a cause of cardiac hemangioma a rare case report and review of literature with special focus on etiology |
| topic | Rheumatism Hemangioma Cardiac surgery Benign heart tumors Rheumatic heart disease |
| url | https://doi.org/10.1186/s12872-023-03241-8 |
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