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Ann Thorac Surg 2004;78:1472-1475
© 2004 The Society of Thoracic Surgeons

Case report

Recurrent Pericardial Tamponade from Atrial Hemangioma

Naoyuki Sata, MDa,*, Yukinori Moriyama, MDb, Naokazu Hamada, MDa, Takashi Horinouchi, MDa, Kenkichi Miyahara, MDa

a Divisions of Cardiology, Shinkyo Hospital, Kagoshima, Japan
b Division of Cardiovascular Surgery, Shinkyo Hospital, Kagoshima, Japan

Accepted for publication July 10, 2003.

* Address reprint requests to Dr Sata, Division of Cardiology, Shinkyo Hospital, 3-41-1 Usuki, Kagoshima 890-0073, Japan
satasata{at}m.kufm.kagoshima-u.ac.jp

We encountered a 72-year-old woman with a left atrial hemangioma arising in the appendage and growing like an extracardiac mass. Life-threatening cardiac tamponade, recurrent over a 5-year clinical course, was the only sign of this rare tumor. The extraatrial growth pattern of the tumor made it difficult to distinguish the cardiac origin from a paracardiac mass. With the aid of cardiopulmonary bypass, the tumor was removed from the left atrium at the base of the appendage. Pathologic diagnosis was a combination of cavernous- and venous-type hemangioma. The postoperative course was uneventful, and the patient was doing well with no pericardial effusion at the 10-month follow-up.




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[Abstract] [Full Text] [PDF]


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