Vol. 24 No. 3 (2020)
CASE REPORTS

Case report of the successful removal of a haemangioma of the left ventricle in a paediatric patient

PDF (Русский)
  • U. Kolbik,
  • A. Gorustovich,
  • Yu. Linnik,
  • M. Shved,
  • V. Drozdovskaya,
  • I. Sakharov,
  • K. Drozdovski
U. Kolbik
The Children’s Surgery National Applied Research Hospital, Minsk
Bio
A. Gorustovich
The Children’s Surgery National Applied Research Hospital, Minsk
Yu. Linnik
The Children’s Surgery National Applied Research Hospital, Minsk
M. Shved
The Children’s Surgery National Applied Research Hospital, Minsk
V. Drozdovskaya
The Children’s Surgery National Applied Research Hospital, Minsk
I. Sakharov
City Clinical Pathology Bureau, Minsk
K. Drozdovski
The Children’s Surgery National Applied Research Hospital, Minsk
DOI: https://doi.org/10.21688/1681-3472-2020-3-132-137

Published 2020-09-30

Keywords

  • case report,
  • heart tumour,
  • haemangioma,
  • left ventricle,
  • myxoma

How to Cite

Kolbik, U., Gorustovich, A., Linnik, Y., Shved, M., Drozdovskaya, V., Sakharov, I., & Drozdovski, K. (2020). Case report of the successful removal of a haemangioma of the left ventricle in a paediatric patient. Patologiya Krovoobrashcheniya I Kardiokhirurgiya, 24(3), 132–137. https://doi.org/10.21688/1681-3472-2020-3-132-137

Copyright (c) 2020 Kolbik U.G., Gorustovich A.V., Linnik Yu.I., Shved M.M., Drozdovskaya V.V., Sakharov I.V., Drozdovski K.V.

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Abstract

This publication presents the clinical observation in a paediatric patient with haemangioma of the left stomach. The effectiveness of surgical treatment of this disease is also noted. We assess the challenges in diagnosis and the choice of treatment of this pathology in children and the effectiveness of surgical treatment disease.
Primary cardiac tumours are rare; vascular tumours and haemangiomas are rarer. The clinical picture of heart haemangioma is non-specific and varies as per its location and size. Echocardiography is the main diagnostic method for this disease. However, in most cases of preoperative diagnostic examination, the pre-surgery diagnosis is not confirmed. The final diagnosis of capillary haemangioma is established following immunohistochemical staining of the surgical material. Thus far, owing to the rare occurrence, a generally accepted tactic for the treatment of such patients with vascular heart tumours has not been developed.
This clinical case describes our experience of treating a rare pathology in children with unusual localisation as well as the rapid successful surgical removal of the tumour without complications and with a favourable post-surgery recovery period.

Received 14 May 2020. Revised 15 June 2020. Accepted 26 June 2020.

Funding: The study did not have sponsorship.

Conflict of interest: Authors declare no conflict of interest.

Author contributions
Literature review: U.G. Kolbik, A.V. Gorustovich, Y.I. Linnik
Illustrations: U.G. Kolbik, I.V. Sakharov, V.V. Drozdovskaya
Drafting the article: U.G. Kolbik, A.V. Gorustovich, I.V. Sakharov
Critical revision of the article: I.V. Sakharov, M.M. Shved, Yu.I. Linnik
Surgical treatment: A.V. Gorustovich, M.M. Shved, U.G. Kolbik
Final approval of the version to be published: U.G. Kolbik, A.V. Gorustovich, Yu.I. Linnik, M.M. Shved, V.V. Drozdovskaya, I.V. Sakharov, K.V. Drozdovski

PDF (Русский)

References

  1. Motwani M., Kidambi A., Herzog B.A., Uddin A., Greenwood J.P., Plein S. MR imaging of cardiac tumors and masses: A review of methods and clinical applications. Radiology. 2013;268(1):26-43. PMID: 23793590. https://doi.org/10.1148/radiol.13121239
  2. Han Y., Chen X., Wang X., Yang L., Zeng Y., Yang J. Cardiac capillary hemangioma: a case report and brief review of the literature. J Clin Ultrasound. 2014;42(1):53-56. PMID: 23325732. https://doi.org/10.1002/jcu.22026
  3. Podolec P., Kopeć G., Rubiś P., Stępniewski J., Podolec J., Komar M., Tomkiewicz-Pająk L., Leśniak-Sobelga A., Kabłak-Ziembicka A., Matusik P.T. Clinical classification of rare cardiovascular diseases and disorders: 2018 update. Journal of Rare Cardiovascular Diseases. 2018;3(7):230-235. https://doi.org/10.20418/jrcd.vol3no7.330
  4. Mongal L.S., Salat R., Anis A., Esrig B.C., Oz M., Klapholz M., Maldjian P., Saric M. Enormous right atrial hemangioma in an asymptomatic patient: A case report and literature review. Echocardiography. 2009;26(8):973-976. PMID: 19968685. https://doi.org/10.1111/j.1540-8175.2009.00947.x
  5. Sulayman R., Cassels D.E. Myocardial coronary hemangiomatous tumors in children. Chest. 1975;68(1):113-115. PMID: 125184. https://doi.org/10.1378/chest.68.1.113
  6. Bossert T., Gummert J.F., Battellini R., Richter M., Barten M., Walther T., Falk V., Wilhelm Mohr F. Surgical experience with 77 primary cardiac tumors. Interact Cardiovasc Thorac Surg. 2005;4(4):311-315. PMID: 17670419. https://doi.org/10.1510/icvts.2004.103044
  7. Cina S.J., Smialek J.E., Burke A.P., Virmani R., Hutchins G.M. Primary cardiac tumors causing sudden death: A review of the literature. Am J Forensic Med Pathol. 1996;17(4):271-281. PMID: 8947350. https://doi.org/10.1097/00000433-199612000-00001
  8. Hochberg L.A., Robinson A.I. Primary tumor of the pericardium involving the myocardium: surgical removal. Circulation. 1950;1(4):805-809. https://doi.org/10.1161/01.CIR.1.4.805
  9. Hamasaki A., Ishikawa K. Surgical approach to a left ventricular myxoma guided by transesophageal and epicardial dual-view echocardiography: a case report. Surg Case Rep. 2016;2(1):92. PMID: 27604598, PMCID: PMC5014779. https://doi.org/10.1186/s40792-016-0224-8
  10. Yüksel A., Saba D., Velioğlu Y., Ener S., Özkan H. Biatrial approach provides better outcomes in the surgical treatment of cardiac myxomas. Braz J Cardiovasc Surg. 2016;31(4):309-317. PMID: 27849304, PMCID: PMC5094423. https://doi.org/10.5935/1678-9741.20160066
  11. Lobo A., Lewis J.F., Conti C.R. Intracardiac masses detected by echocardiography: case presentations and review of the literature. Clin Cardiol. 2000;23(9):702-708. PMID: 11016023, PMCID: PMC6655035. https://doi.org/10.1002/clc.4960230914
  12. Engberding R., Daniel W.G., Erbel R., Kasper W., Lestuzzi C., Curtius J.M., Sutherland G.R., Lambertz H., Von Hehn A., Lesbre J.P., Bogunovic N., Biasi S., Caruso A., Lengyel M., Iliceto S., The European Cooperative Study Group. Diagnosis of heart tumours by transoesophageal echocardiography: a multicentre study in 154 patients. Eur Heart J. 1993;14(9);1223-1228. https://doi.org/10.1093/eurheartj/14.9.1223
  13. Constantine G., Shan K., Flamm S.D., Sivananthan M.U. Role of MRI in clinical cardiology. Lancet. 2004;363(9427):2162-2171. PMID: 15220041. https://doi.org/10.1016/S0140-6736(04)16509-4
  14. Miao H., Yang W., Zhou M., Zhu Q., Jiang Z. Atrial hemangioma: A case report and review of the literature. Ann Thorac Cardiovasc Surg. 2019;25(2):71-81. PMID: 30890668, PMCID: PMC6477455. https://doi.org/10.5761/atcs.ra.18-00207
  15. Roser M., Hamdan A., Komoda T., Kriatselis C., Stawowy P., Meyer R., Hetzer R., Knosalla C., Paetsch I. Left ventricular cardiac hemangioma presenting with atypical chest pain. Circulation. 2008;117(22):2958-2960. PMID: 18519864. https://doi.org/10.1161/circulationaha.107.737486
  16. Li W., Teng P., Xu H., Ma L., Ni Y. Cardiac hemangioma: A comprehensive analysis of 200 cases. Ann Thorac Surg. 2015;99(6):2246-2252. PMID: 25921258. https://doi.org/10.1016/j.athoracsur.2015.02.064