Author + information
- Received May 26, 2010
- Accepted June 15, 2010
- Published online April 19, 2011.
- Giulio Conte, MD⁎,
- Annachiara Aldrovandi, MD, PhD⁎,
- Claudio Reverberi, MD⁎,
- Filippo Cademartiri, MD, PhD† and
- Diego Ardissino, MD⁎
A 60-year-old woman was referred to our institution for the evaluation of a mediastinal cystic lymphangioma. Twenty years earlier, because of palpitations, she had undergone transthoracic echocardiography, which showed a large mass with cystic structure involving the heart. A biopsy confirmed the diagnosis of cystic lymphangioma. Surgery was not performed because the patient was asymptomatic, and the mass remained unchanged during close follow-up.
Transthoracic echocardiography (A and B) and cardiac magnetic resonance (C) showed a multilocular mass surrounding the ventricles from the apex to the left atrioventricular groove (2.5 × 7 cm). On cardiac magnetic resonance cine images, the mass was strictly attached to the heart, located between the visceral and parietal pericardium, but it did not infiltrate the ventricular wall (Online Video 1). The T2-weighted images (D) showed a hyperintense signal, suggesting a fluid composition. Ventricular wall motion was normal, and there were no signs of restriction or compression (Online Video 2).
- Received May 26, 2010.
- Accepted June 15, 2010.
- American College of Cardiology Foundation