Abu-Omar Y, Mezue K, Ali A, Kneeshaw JD, Goddard M, Large SR. Intractable ventricular tachycardia secondary to cardiac hemangioma.
Ann Thorac Surg 2010;
90:1347-9. [PMID:
20868844 DOI:
10.1016/j.athoracsur.2010.03.094]
[Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/10/2010] [Revised: 02/27/2010] [Accepted: 03/26/2010] [Indexed: 11/17/2022]
Abstract
Cardiac tumors are rare and have a known association with ventricular dysrhythmias, especially ventricular tachycardia. We report a case of intractable ventricular tachycardia in a middle-aged man developing on a background of known, presumed benign, cardiac neoplasm. The ventricular tachycardia was controlled with long-term medical therapy. Surgical resection of the cardiac mass combined with cryoablation cured the dysrhythmia. Appearances at histopathology were those of a benign intracardiac hemangioma. Surgical treatment has an important but forgotten role in the management of ventricular arrhythmias, which is more definitive and carries a higher success rate compared with medical management.
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