Author + information
- Received January 22, 2009
- Revision received March 10, 2009
- Accepted March 16, 2009
- Published online September 15, 2009.
- Wibke Stepper, MD⁎,
- Martin Dorsel, MD†,
- Alexander C. Bunck, MD‡,
- David Maintz, MD‡,
- Günter Breithardt, MD⁎,
- Helmut Baumgartner, MD⁎,§ and
- Christian Vahlhaus, MD⁎
A 22-year-old woman with monomorphic ventricular tachycardias (240 beats/min) exhibited a strongly vascularized tumor (7.4 × 5.2 cm) of the left ventricular free wall on echocardiography (A, Online Video 1). Magnetic resonance imaging demonstrated gadolinium contrast enhancement (B). The hyperintense tumor (T2-weighted) did not infiltrate epimyocardial or endomyocardial layers. Coronary angiography showed dilation of coronary arteries proximal of the tumor supply (C, Online Video 2). The tumor was perfused from the first diagonal branch.
We diagnosed a benign cardiac hemangioma. Consequently, we refrained from sequential coiling, tissue sampling, or complete operative removal. Implantable cardioverter-defibrillator implantation was performed and follow-up was scheduled. Ao = aortic branch; LA = left atrium; LAD = left anterior descending; LV = left ventricle; P = pulmonary artery; RCX = right circumflex artery.
- Received January 22, 2009.
- Revision received March 10, 2009.
- Accepted March 16, 2009.
- American College of Cardiology Foundation