Enlarging left atrial haemangioma in a patient with Cowden syndrome.
Anthony LamannaRuth P LimLee Pheng YapJulian MaingardSiven SeevenayagamPublished in: BMJ case reports (2019)
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.
Keyphrases
- case report
- positron emission tomography
- computed tomography
- left atrial
- left ventricular
- healthcare
- coronary artery bypass
- patients undergoing
- contrast enhanced
- atrial fibrillation
- heart failure
- pet ct
- coronary artery disease
- pulmonary artery
- signaling pathway
- acute coronary syndrome
- pet imaging
- dual energy
- percutaneous coronary intervention
- catheter ablation
- pulmonary hypertension