Research Papers: Pathology:
Paroxysmal supraventricular tachycardia as first manifestation of right atrial hemangioma during endovascular treatment of intracranial arteriovenous fistulas
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Francesca Spanò1, Alberto Cereda2, Antonella Moreo1, Edgardo Bonacina3, Angelica Peritore2, Alberto Roghi4, Cristina Giannattasio5,2, Patrizia Pedrotti4
1Department of Cardiology A De Gasperis, Cardiology 4, Echocardiography Laboratory, Niguarda Cà Granda Hospital, Milano, Italy
2Bicocca University, Science of Health Department, Milano, Italy
3Pathology Laboratories, Niguarda Cà Granda Hospital, Milano, Italy
4Department of Cardiology A De Gasperis, Cardiology 4, Cardiovascular Magnetic Resonance Unit, Niguarda Cà Granda Hospital, Milano, Italy
5Department of Cardiology A De Gasperis, Cardiology 4, Niguarda Cà Granda Hospital, Milano, Italy
Patrizia Pedrotti, e-mail: [email protected]
Keywords: paroxysmal supraventricular tachycardia, atrial mass, mixed type cavernous-capillary hemangioma, cardiac imaging, cerebral fistulas
Received: March 01, 2015 Accepted: April 14, 2015 Published: April 27, 2015
We report the description of a cardiac mass occupying almost the entire right atrium in a young man who developed paroxysmal supraventricular tachycardia during endovascular treatment of intracranial arteriovenous fistulas. The mass was detected at echocardiographic examination, its tissue characteristics were defined with cardiac magnetic resonance and it was successfully surgically removed. The histopathological findings were consistent with a mixed type cavernous-capillary hemangioma of the heart. The intriguing co-existence of cardiac hemangioma and cerebral arteriovenous fistulas, to the best of our knowledge, has not been previously reported in English Literature.
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