Case Report

CardioVascular and Interventional Radiology

, Volume 34, Supplement 2, pp 90-93

First online:

Hemangioma of the Interatrial Septum: CT and MRI Features

  • Maja Hrabak-PaarAffiliated withDepartment of Diagnostic and Interventional Radiology, University Hospital Center Zagreb, University of Zagreb School of Medicine Email author 
  • , Marisa HübnerAffiliated withUniversity Hospital Mainz
  • , Ranka Štern-PadovanAffiliated withDepartment of Diagnostic and Interventional Radiology, University Hospital Center Zagreb, University of Zagreb School of Medicine
  • , Mario LušićAffiliated withDepartment of Diagnostic and Interventional Radiology, University Hospital Center Zagreb, University of Zagreb School of Medicine

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Abstract

Hemangioma of the heart is a rare primary benign tumor mainly appearing as enhancing, homogenous, well-circumscribed mass. We report a case of a 61-year-old asymptomatic woman, whose echocardiography showed a cardiac mass, which was described as the atypical myxoma of the right atrium. For further imaging, contrast-enhanced computed tomography and cardiac magnetic resonance imaging were undertaken, which showed a tumor located in the interatrial septum with imaging characteristics of hemangioma. In the literature, cardiac hemangioma is usually described as an intensely enhancing mass. In our opinion, early peripheral puddling of contrast material with filling in on delayed images is a typical pattern of its enhancement. This characteristic, in addition to high signal intensity on T2-weighted images, allows differentiation of a hemangioma from other benign and malignant tumors.

Keywords

Cardiac hemangioma Primary cardiac tumor Cardiac magnetic resonance imaging Computed tomography