Cases reported "Heart Neoplasms"

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1/61. In utero diagnosis of cardiac hemangioma.

    Fetal cardiac hemangioma is rarely diagnosed prenatally. We present here a fetus with such a tumor diagnosed at 28 weeks' gestation. With the use of fetal echocardiography, a mixed echogenic mass protruding outward from the right atrial wall was observed. Moderate amounts of pericardial effusion were also found. Although no apparent blood flow signal was detected in the mass, fetal echocardiography showed signs suggestive of a hemangioma. Differential diagnosis, management and prognosis are discussed.
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2/61. Left ventricular hemangioma.

    Cardiac hemangiomas are rare, primary benign cardiac tumors. The authors report their experience of diagnosis and treatment of an hemangioma localized into the left ventricle. The tumor could be successfully resected and there is no recurrence at 1 year follow-up.
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3/61. Resection of a large right atrial hemangioma in a neonate after prenatal diagnosis.

    Cardiac hemangiomas are extremely rare benign tumors. We describe the case of a right atrial hemangioma in a neonate diagnosed prenatally and successfully operated 10 days after spontaneous delivery. This unusual case illustrates the importance of prenatal diagnosis and delivery of the baby next to a pediatric center with a department of appropriately specialized cardiovascular surgery.
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4/61. hemangioma of the right ventricular outflow tract.

    Obstruction of the right ventricular outflow tract by a primary cardiac tumor is rare. Six cases of right ventricular outflow tract obstruction by a primary cardiac hemangioma have been reported; all but one were detected before the age of 25 years. In this report, we review the literature and describe what we believe to be only the second reported case of right ventricular outflow tract obstruction produced by a cardiac hemangioma that presented in late adulthood.
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5/61. Rare presentation of cardiac hemangiomas.

    Cardiac hemangiomas are exceptionally rare tumors with an incidence of 1% to 2% of all detected benign heart neoplasms. The clinical appearance of the tumor varies considerably and may mimic other pathological findings of definite heart structures. We report two cases of cardiac hemangiomas presenting with an unusual location and clinical course.
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6/61. decompression of fetal cardiac tamponade caused by congenital capillary hemangioma of the pericardium.

    BACKGROUND: Isolated fetal pericardial effusion is rare but has been associated with various cardiac masses. decompression in utero might prolong the pregnancy. CASE: In a 34-year-old white woman, gravida 3, para 0-1-1-1, at 34 5/7 weeks' gestation, ultrasound detected massive fetal pericardial effusion that progressed rapidly to hydrops. The fetal heart was structurally normal. We decompressed the fetal cardiac tamponade by pericardiocentesis, removing 52 mL of straw-colored fluid, which improved fetal movement and hydrops. We did pericardiocentesis at 6 weeks postpartum for a large pericardial effusion. Two weeks later the effusion recurred and we did thoracotomy with pericardial window placement. Pathologic diagnosis of pericardial biopsy was congenital capillary hemangioma of the pericardium. CONCLUSION: Isolated fetal pericardial effusion can be caused by capillary hemangioma of the pericardium despite lack of any mass on ultrasound. decompression of pericardial effusion in utero might relieve fetal cardiac tamponade and extend pregnancy.
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7/61. Surgical treatment of a hemangioma of the mitral valve.

    hemangioma of the heart is a rare lesion, representing 5% to 10% of benign cardiac tumors. hemangioma of the mitral valve has been reported previously in one autopsy case report. We describe the excision and repair of a hemangioma of the mitral valve in a 33-year-old African-American woman.
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8/61. Reconstruction of the left ventricle in a patient with cardiac hemangioma at the apex.

    Cardiac hemangiomas in the left ventricle are extremely rare. A 34-year-old woman, without symptoms, with a diagnosis of cardiac tumor at the apex of the left ventricle was referred to us. The tumor was surgically resected, and the diagnosis was hemangioma. The Jatene technique, originally introduced for left ventricular aneurysmectomy was excellent for repair after resection of a cardiac tumor at the apex.
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9/61. Surgical treatment of a cavernous hemangioma of the left atrial roof.

    A hemangioma that occurs as a primary tumor of the heart is extremely rare. The authors experienced a cavernous hemangioma located in the epicardium of the left atrial roof in a patient who had paroxysmal atrial fibrillation. Resection of the tumor and cryo-coagulation yielded a satisfactory clinical course. No recurrence of the tumor is noted at the time of 5 years after operation.
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10/61. Pedunculated hemangioma in the right ventricle.

    We report a rare case of right ventricular hemangioma. In an asymptomatic 56-year-old man, echocardiography as a part of medical checkup demonstrated a pedunculated tumor, 1.0 x 1.3 x 1.5 cm, arising from the free wall of the right ventricle. No findings were seen of a feeding artery to the tumor or vascular blush in preoperative coronary angiography. Successful resection was done through right atriotomy under total cardiopulmonary bypass. The histological examination revealed capillary hemangioma. The postoperative clinical course was uneventful, but requires careful follow-up for possible coronary cardiac fistula. This is the fifth case of right ventricular hemangioma, to our knowledge, ever reported in japan.
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