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Rocco R, Daly R, Arghami A. Robotic-Assisted Resection of Rare Mitral Valve Hemangioma. Mayo Clin Proc Innov Qual Outcomes 2024; 8:249-252. [PMID: 38766353 PMCID: PMC11099194 DOI: 10.1016/j.mayocpiqo.2024.03.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/22/2024] Open
Abstract
Cardiac hemangiomas are extremely rare tumors accounting for only 1.5%-2.5% of all cardiac tumors. According to most recent literature, only 13 mitral valve hemangiomas have been reported. A 78-year-old man was undergoing routine transthoracic echocardiography monitoring for an ascending aortic dilation when a vegetation on the mitral leaflet was incidentally detected. This lesion presented as a 0.5- × 0.6-cm mobile mass arising from the medial aspect of the A2 cusp. Despite the asymptomatic nature of the aforementioned lesion, resection was pursued given presumed diagnosis of papillary fibroelastoma and concern for risk of stroke. The mass was resected using minimally invasive robotic approach, and final pathology was consistent with hemangioma.
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Affiliation(s)
- Raffaele Rocco
- Department of Cardiothoracic Surgery, Mayo Clinic, Rochester, MN
| | - Richard Daly
- Department of Cardiothoracic Surgery, Mayo Clinic, Rochester, MN
| | - Armin Arghami
- Department of Cardiothoracic Surgery, Mayo Clinic, Rochester, MN
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2
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Osada H, Yamazaki K, Suzuki T, Tomotsuka S, Sugimoto A, Fujimoto M, Minatoya K. Cardiac capillary hemangioma originating from the mitral valve. JTCVS Tech 2023; 20:127-129. [PMID: 37555054 PMCID: PMC10405205 DOI: 10.1016/j.xjtc.2023.05.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2023] [Revised: 04/02/2023] [Accepted: 04/22/2023] [Indexed: 08/10/2023] Open
Affiliation(s)
- Hiroaki Osada
- Department of Cardiovascular Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan
| | - Kazuhiro Yamazaki
- Department of Cardiovascular Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan
| | - Tsutomu Suzuki
- Department of Cardiovascular Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan
| | - Sanae Tomotsuka
- Department of Cardiovascular Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan
| | - Akihiko Sugimoto
- Department of Diagnostic Pathology, Kyoto University Hospital, Kyoto, Japan
| | - Masakazu Fujimoto
- Department of Diagnostic Pathology, Kyoto University Hospital, Kyoto, Japan
| | - Kenji Minatoya
- Department of Cardiovascular Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan
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Parkash O, Ying GW, Ram A, Vemireddy LP, Zahra F. A Rare Case of Cavernous Hemangioma of the Mitral Valve Presenting As Multifocal Embolic Brain Infarcts. Cureus 2021; 13:e17721. [PMID: 34650895 PMCID: PMC8489795 DOI: 10.7759/cureus.17721] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/06/2021] [Indexed: 11/23/2022] Open
Abstract
Primary cardiac tumors (PCTs) are rare and represent a heterogeneous group of tumors, potentially arising from various parts of the heart. The majority of these tumors are benign (90%), with myxoma being the most common subtype. Cardiac hemangiomas are rare vascular tumors that constitute 1-2% of all benign heart neoplasms. We present a rare case of a 79-year-old woman presented with multifocal embolic brain infarcts secondary to cavernous hemangioma of the mitral valve (MV). Cavernous hemangioma was successfully resected with follow-up imaging at six months, demonstrating no regrowth. There are no pathognomonic signs or findings to suggest cavernous hemangioma of the MV on clinical examination or imaging studies. Surgical resection and histopathologic analysis remain the gold standard for diagnosis and treatment, respectively. Following complete resection, the prognosis is generally favorable with a low recurrence rate, but periodic echocardiography is recommended to detect any potential recurrence.
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Affiliation(s)
- Om Parkash
- Internal Medicine, Chicago Medical School at Rosalind Franklin University of Medicine and Science, North Chicago, USA
| | - Grace W Ying
- Internal Medicine, Chicago Medical School Internal Medicine Residency Program at Northwestern McHenry Hospital, McHenry, USA
| | - Aatma Ram
- Internal Medicine, Chicago Medical School at Rosalind Franklin University of Medicine and Science, North Chicago, USA
| | - Lalitha Padmanabha Vemireddy
- Internal Medicine, Chicago Medical School at Rosalind Franklin University of Medicine and Science, North Chicago, USA
| | - Farah Zahra
- Internal Medicine, Chicago Medical School Internal Medicine Residency Program at Northwestern McHenry Hospital, McHenry, USA
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Perez-Brandão C, Carvalho R, Pinto FF, Fragata J. Arteriovenous Hemangioma of the Mitral Valve: Successful Surgical Removal in an Infant. World J Pediatr Congenit Heart Surg 2019; 10:355-356. [PMID: 31084303 DOI: 10.1177/2150135119833338] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Affiliation(s)
- Catarina Perez-Brandão
- 1 Pediatric Cardiology Department, Hospital Santa Marta, Centro Hospitalar de Lisboa Central (CHLC), Lisbon, Portugal
| | - Rita Carvalho
- 2 Anatomic Pathology Department, Hospital São José, Centro Hospitalar de Lisboa Central (CHLC), Lisbon, Portugal
| | - Fátima F Pinto
- 1 Pediatric Cardiology Department, Hospital Santa Marta, Centro Hospitalar de Lisboa Central (CHLC), Lisbon, Portugal
| | - José Fragata
- 3 Cardiothoracic Surgery Department, Hospital Santa Marta, Centro Hospitalar de Lisboa Central (CHLC), Lisbon, Portugal
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DiVincenzo MJ, Bonagura JD, Rings L, Burns TA, Cianciolo RE, Kohnken R. Cardiovascular images: vascular hamartoma of the mitral valve in a horse. J Vet Cardiol 2018; 20:399-404. [PMID: 30526955 DOI: 10.1016/j.jvc.2018.09.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2017] [Revised: 08/29/2018] [Accepted: 09/11/2018] [Indexed: 10/28/2022]
Abstract
An 8-month-old Hanoverian gelding was presented with a history of cardiac murmurs that were not apparent as a foal nor reported at the time of castration. Major echocardiographic findings included mitral valvular thickening, functional stenosis, and mitral regurgitation of sufficient severity to cause diastolic and systolic cardiac murmurs, left-sided volume overload, and pulmonary hypertension. Due to the hemodynamic severity of the lesion and poor prognosis for future performance and longevity, euthanasia was elected. On gross postmortem examination, there was focal fibrous epicarditis affecting the heart base, and the left atrium was moderately dilated. The mitral valve surface was irregular and contained several nodules along the atrial face of the cusp. Histologically, this lesion was diagnosed as a vascular hamartoma, which is rarely reported in veterinary species and has not been described in heart valves. This benign proliferative lesion, and concurrent valvular dysfunction, was associated with an unusual manifestation of clinically evident disease and should be differentiated from common incidental valvular lesions such as hematocysts.
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Affiliation(s)
- M J DiVincenzo
- Department of Veterinary Biosciences, The Ohio State University, 1925 Coffey Road, Columbus, OH 43210, USA
| | - J D Bonagura
- Department of Veterinary Clinical Sciences, The Ohio State University, 601 Vernon L. Sharp Street, Columbus, OH, 43210, USA
| | - L Rings
- Department of Veterinary Clinical Sciences, The Ohio State University, 601 Vernon L. Sharp Street, Columbus, OH, 43210, USA
| | - T A Burns
- Department of Veterinary Clinical Sciences, The Ohio State University, 601 Vernon L. Sharp Street, Columbus, OH, 43210, USA
| | - R E Cianciolo
- Department of Veterinary Biosciences, The Ohio State University, 1925 Coffey Road, Columbus, OH 43210, USA
| | - R Kohnken
- Department of Veterinary Biosciences, The Ohio State University, 1925 Coffey Road, Columbus, OH 43210, USA.
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Cotier P, Bruneval P, Amemiya K. Vascular malformation in a bicuspid aortic valve. Cardiovasc Pathol 2018; 38:39-41. [PMID: 30447516 DOI: 10.1016/j.carpath.2018.10.006] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/25/2018] [Accepted: 10/13/2018] [Indexed: 11/17/2022] Open
Abstract
We report here a case of capillary vascular malformation developed in a bicuspid aortic valve incidentally detected during valve replacement in a 67-year-old male patient. The International Society for the Study of Vascular Anomalies (ISSVA) classification was used to classify this vascular lesion instead of using the term hemangioma. The differential diagnosis and the literature are reviewed.
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Affiliation(s)
- Paul Cotier
- Department of Pathology, Assistance Publique-Hôpitaux de Paris, Hôpital Européen Georges Pompidou, 20 rue Leblanc, 75015-, Paris, France
| | - Patrick Bruneval
- Department of Pathology, Assistance Publique-Hôpitaux de Paris, Hôpital Européen Georges Pompidou, 20 rue Leblanc, 75015-, Paris, France.
| | - Kisaki Amemiya
- Department of Pathology, Assistance Publique-Hôpitaux de Paris, Hôpital Européen Georges Pompidou, 20 rue Leblanc, 75015-, Paris, France
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