Enlarging left atrial haemangioma in a patient with Cowden syndrome

BMJ Case Rep. 2019 Jul 27;12(7):e230088. doi: 10.1136/bcr-2019-230088.

Abstract

A 53-year-old female patient known to have Cowden disease (PTEN mutation positive) was found to have a mass at the left atrium on a CT coronary angiography performed as part of a preoperative workup for an unrelated surgery. Further radiological characterisation of the lesion was achieved using MRI and positron emission tomography. Interval growth prompted surgical excision; however, surgery was expedited after the patient presented with haemopericardium and cardiac tamponade. The patient was discharged home 8 days postoperatively, and no intraoperative or postoperative complications were encountered. A diagnosis of cavernous haemangioma was made on histology.

Keywords: cardiothoracic surgery; hemangioma; radiology.

Publication types

  • Case Reports

MeSH terms

  • Cardiac Tamponade / complications*
  • Coronary Angiography
  • Female
  • Hamartoma Syndrome, Multiple*
  • Heart Atria / diagnostic imaging
  • Heart Atria / pathology*
  • Heart Atria / surgery
  • Hemangioma, Cavernous / diagnostic imaging
  • Hemangioma, Cavernous / pathology*
  • Hemangioma, Cavernous / surgery
  • Humans
  • Incidental Findings*
  • Magnetic Resonance Imaging
  • Middle Aged
  • PTEN Phosphohydrolase
  • Tomography, X-Ray Computed
  • Treatment Outcome

Substances

  • PTEN Phosphohydrolase
  • PTEN protein, human