Hostname: page-component-586b7cd67f-r5fsc Total loading time: 0 Render date: 2024-11-22T20:02:48.829Z Has data issue: false hasContentIssue false
  • English
  • Français

Intramuscular small vessel arteriovenous malformation of the left ventricle in an asymptomatic adolescent: a case report and literature review

Published online by Cambridge University Press:  22 May 2013

Amy N. McCammond ,
Erin R. Rudzinski ,
Brian J. Morrison  and
Michael Silberbach
Amy N. McCammond*
Affiliation:
Department of Pediatrics, Division of Pediatric Cardiology, Lucile Packard Children's Hospital at Stanford, Palo Alto, California, United States of America
Erin R. Rudzinski
Affiliation:
Department of Pathology, Oregon Health & Science University, Portland, Oregon, United States of America
Brian J. Morrison
Affiliation:
Department of Pediatrics, Division of Pediatric Cardiology, Doernbecher Children's Hospital, Portland, Oregon, United States of America
Michael Silberbach
Affiliation:
Department of Pediatrics, Division of Pediatric Cardiology, Doernbecher Children's Hospital, Portland, Oregon, United States of America
*
Correspondence to: Dr A. N. McCammond, MD, Department of Pediatrics, Division of Pediatric Cardiology, Lucile Packard Children's Hospital at Stanford, 750 Welch Road, Suite 325., Palo Alto, California 94304, United States of America. Tel: +650 723 7913; Fax: +650 723 8343; E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Primary vascular tumours of the heart are rare and heterogeneous in their presentation and classification. We present a primary intramuscular vascular malformation of the left ventricle in an asymptomatic 12-year-old girl. Characteristics on cardiac magnetic resonance imaging, specifically increased signal intensity on T2-weighted images, and marked contrast enhancement with gadolinium were suggestive of increased vascularity. Histologically, the mass was determined to be an intramuscular vascular malformation of the small vessel arteriovenous subtype. This represents one of a select few intramuscular vascular malformations of the left ventricle reported in children. Our patient remains completely asymptomatic and has had no change in the size and appearance of the mass after more than 30 months of follow-up.

Keywords

Cardiac tumoursheart-vascular neoplasmsvascular anomaliesarteriovenous
Type
Review Articles
Information
Cardiology in the Young , Volume 23 , Issue 5 , October 2013 , pp. 656 - 660
Copyright
Copyright © Cambridge University Press 2013 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Sparrow, PJ, Kurian, JB, Jones, TR, et al. MRI imaging of cardiac tumors. Radio Graphics 2005; 25: 1255–1276.Google Scholar
2. Beroukhim, RS, Prakash, A, Valsangiacomo Buechel, ER, et al. Characterization of cardiac tumors in children by cardiovascular magnetic resonance imaging. JACC 2011; 58: 1044–1054.Google Scholar
3. Léauté-Labrèze, C, Dumas de la Roque, E, Hubiche, T, et al. Propranolol for severe hemangiomas of infancy. N Engl J Med 2008; 358: 2649–2651.Google Scholar
4. Buckmiller, LM. Propanolol treatment for infantile hemangiomas. Cur Opin Otolaryngol Head Neck Surg 2009; 17: 458–459.Google Scholar
5. Denoyelle, F, Leboulanger, N, Enjolras, O, et al. Propranolol in the therapeutic strategy of infantile laryngotracheal hemangioma. Int J Pediatr Otorhinolaryngol 2009; 73: 1168–1172.Google Scholar
6. Mackie, AS, Kozakewich, HPW, Geva, T, et al. Vascular tumors of the heart in infants and children: case series and review of the literature. Pediatr Cardiol 2005; 26: 344–349.Google Scholar
7. Beghetti, M, Gow, RM, Haney, I, et al. Pediatric primary benign cardiac tumors: a 15-year review. Am Heart J 1997; 134: 1107–1114.Google Scholar
8. Laga, S, Gewelling, MH, Van Schoubroeck, D, et al. Imminent fetal cardiac tamponade by right atrial hemangioma. Pediatr Cardiol 2006; 27: 633–635.Google Scholar
9. Watanabe, M, Abe, M, Ogawa, S. A case of neonatal cardiac tamponade associated with benign hemangioma. J Nippon Med Sch 2010; 77: 2–3.Google Scholar
10. Sharma, J, Hirata, Y, Mosca, RS. Surgical repair in neonatal life of cardiac hemangiomas diagnosed prenatally. Cardiol Young 2009; 15: 1–4.Google Scholar
11. Moniotte, S, Geva, T, Perez-Atayde, A, et al. Cardiac hemangioma. Circulation 2005; 112: e103–e104.Google Scholar
12. Zerbo, S, Argo, A, Maresi, E, et al. Sudden death in adolescence caused by cardiac hemangioma. J Forensic Leg Med 2009; 16: 156–158.Google Scholar
13. Sharma, J, Hsu, D, Weinstein, S. Obstructive right ventricular outflow tract hemangioma in an adolescent. Congenit Heart Dis 2011; 6: 657–660.Google Scholar
14. Buckmiller, LM, Richter, GT, Suen, JY. Diagnosis and management of hemangiomas and vascular malformations of the head and neck. Oral Dis 2010; 10: 405–418.Google Scholar