Open AccessEnlarging left atrial haemangioma in a patient with Cowden syndrome
Author(s) -
Anthony Lamanna,
Ruth Lim,
Lee Pheng Yap,
Julian Maingard,
Siven Seevenayagam
Publication year - 2019
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr-2019-230088
Subject(s) - medicine , cowden syndrome , radiology , radiological weapon , lesion , positron emission tomography , interventional cardiology , cardiac tamponade , angiography , surgery , pten , apoptosis , biochemistry , chemistry , pi3k/akt/mtor pathway
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.