Left ventricular cardiac hemangioma in a patient with chronic heart failure

J Med Ultrason (2001). 2018 Jul;45(3):509-513. doi: 10.1007/s10396-017-0852-z. Epub 2017 Dec 26.

Abstract

Cardiac hemangiomas are rare benign tumors. Here, we report the case of a man in his 30s who had a cardiac hemangioma with no symptoms. He was being treated with β-blockers for chronic heart failure with hypertensive heart disease at Osaka Minato Central Hospital. Routine echocardiography revealed a mobile spherical mass in the left ventricle that had not been detected on echocardiography performed 4 months previously. Subsequently, the tumor was excised to prevent potential embolic events and was pathologically diagnosed as a cardiac hemangioma. This case demonstrates the relatively rapid progress of a cardiac hemangioma regardless of β-blocker administration, which is occasionally used for the treatment of hemangiomas. The efficacy of β-blockers in treating cardiac hemangiomas may vary according to the type of β-blocker. Echocardiography is useful in screening and follow-up of cardiac hemangiomas; however, additional imaging modalities are needed for differential diagnosis.

Keywords: Beta-blocker; Cardiac hemangioma.

Publication types

  • Case Reports

MeSH terms

  • Adrenergic beta-Antagonists / therapeutic use
  • Adult
  • Chronic Disease
  • Disease Progression
  • Heart Failure / complications*
  • Heart Failure / diagnostic imaging
  • Heart Failure / drug therapy
  • Heart Failure / physiopathology
  • Heart Neoplasms / complications*
  • Heart Neoplasms / diagnostic imaging
  • Heart Neoplasms / pathology
  • Heart Neoplasms / surgery
  • Heart Ventricles
  • Hemangioma / complications*
  • Hemangioma / diagnostic imaging
  • Hemangioma / pathology
  • Hemangioma / surgery
  • Humans
  • Male

Substances

  • Adrenergic beta-Antagonists