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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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