Korean Circ J.  1982 Dec;12(2):245-252. 10.4070/kcj.1982.12.2.245.

A Case of Pericardial Hemangioma with Spontaneous Hemopericardium

• Lee SH
• Kim SH
• Park YB
• Seo JD
• Lee YW
• Suh KP
• Ham EK

• KMID: 2040196
• DOI: http://doi.org/10.4070/kcj.1982.12.2.245

Abstract

Primary hemangioma of the heart is very rare and is difficult to be diagnosed during life. We present a case of pericardial hemangioma with spontaneous hemopericardium, which was diagnosed by operation and confirmed histologically by excisional biopsy. This 58-yr old patients had pericardial effusion on echodardiography. After evacuation of bloody pericardial effusion by pericardiocentesis, his symptoms were subsided. After then, he uneventfully convalesced. On the 32th day, sudden dyspnea developed with narrow pulse pressure. So exploratory pericardiotomy was done under the impression of cardiac tamponade. At operation, we noticed diffuse hemangiomatous lesion at epicardium and large amount of bloody pericardial effusion. We performed only diagnostic excisional biopsy because the lesion was too extensive and location was not suitable for total excision. The lesion was confirmed to be pericardial hemangioma histologically.

MeSH Terms

Biopsy
Blood Pressure
Cardiac Tamponade
Dyspnea
Heart
Hemangioma*
Humans
Pericardial Effusion*
Pericardiectomy
Pericardiocentesis
Pericardium