Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/21488
Title: Left atrial cavernous haemangioma presenting with cardiac tamponade in a patient with Cowden syndrome.
Austin Authors: Drucker, Alexandra;Zhou, Chong;Seevanayagam, Siven ;Weinberg, Laurence 
Affiliation: Surgery and Anaesthesia Preoperative Pain Medicine Unit, University of Melbourne, Melbourne, Victoria, Australia
Pathology
Cardiac Surgery
Anaesthesia
Issue Date: 8-Jul-2019
Date: 2019-07-08
Publication information: BMJ Case Reports 2019; 12(7): e229741
Abstract: Cowden syndrome (CS) is a rare disorder characterised by multiple non-cancerous, tumour-like growths called hamartomas. The syndrome is associated with the development of cancer of the breast, endometrium, kidneys, skin and rarely the brain. We report a rare case of symptomatic cardiac haemangioma in a patient with CS. A 54-year-old woman with CS presented with dyspnoea and orthopnoea in the setting of cardiac tamponade. Echocardiography revealed a large haemopericardium and tamponade physiology, secondary to a pericardial mass. The patient underwent urgent cardiopulmonary bypass with removal of the mass. Histopathology confirmed a benign cavernous haemangioma. We postulate that tumours involving the heart/pericardium may be an additional manifestation of CS. This case further highlights the necessity to consider pericardial/cardiac manifestations in patients with hamartomatous syndromes who present with cardiorespiratory symptoms, so that opportunistic investigation and treatment may be instituted.
URI: https://ahro.austin.org.au/austinjspui/handle/1/21488
DOI: 10.1136/bcr-2019-229741
ORCID: 0000-0001-7403-7680
Journal: BMJ Case Reports
PubMed URL: 31289165
Type: Journal Article
Subjects: cardiothoracic surgery
haemangioma
pathology
pericardial disease
Appears in Collections:Journal articles

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