CASE 140: LEFT ATRIUM HEMANGIOMA, Dr NGUYỄN KIM THÁI, MEDIC MEDICAL CENTER, HCMC, VIETNAM

A 58-year–old female with persistent cough for 2 weeks was admitted to MEDIC center for general check up .

The chest X-ray film showed heart slightly enlarged, left heart border bulging on mid zone with a convex shadow about 4cm in diameter (Fig.1). A transthoracic and transesophageal echocardiogram showed a 4x5cm mass, located beside left atrium, at the junction of pulmonary artery and left atrial appendage. No pericardial effusion. (Fig.2,3&4).

 

ECG was within normal limit.The tumor displayed weak contrast on chest computed tomogaphy (Fig.5&6).

 

 

Preoperative diagnosis was pericardial tumor.

The patient underwent uneventful surgery. The tumor was at the lateral wall of left atrium, red brown in color, 4x4cm in diameter (Fig.7).

 

 

 Pathological examination showed  cavernous hemangioma (Fig.8) .