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Small Cardiac Hemangioma: A Challenge for Diagnosis and Dilemma for Management

Abstract : A small cardiac tumor in the left ventricle was discovered incidentally in a 53-year-old patient by echocardiography and was further confirmed by magnetic resonance imaging. A clinical diagnosis of "fibroelastoma or myxoma with an atypical location?" was made, and an uneventful surgical resection was carried out in consideration of the potential embolic risk. The histologic analysis revealed a capillary hemangioma. A posteriori, we reviewed the coronary angiography performed 2 years earlier and found a typical "tumor blush" sign. We discuss the diagnostic features of this case and the alternative approaches that could have been chosen, including a conservative approach with close follow-up.
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https://hal.univ-lorraine.fr/hal-01727748
Contributor : Iadi Ul <>
Submitted on : Friday, March 9, 2018 - 3:13:50 PM
Last modification on : Tuesday, October 13, 2020 - 10:46:02 AM

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Yihua Liu, Pablo Maureira, Christine Selton-Suty, Thierry Folliguet, Pierre-Yves Marie, et al.. Small Cardiac Hemangioma: A Challenge for Diagnosis and Dilemma for Management. Annals of Thoracic Surgery, Elsevier, 2014, 97 (1), pp.e11 - e13. ⟨10.1016/j.athoracsur.2013.07.104⟩. ⟨hal-01727748⟩

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