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Incidental finding of a Septal Haemangioma

He is a basketball player, asymptomatic with normal ECG, with no family history of sudden death or cardiovascular disease. The entity we present was found in a preparticipation screening cardiac examination which included echocardiography examination as well. According to the contrast echo and cardiac MRI further examination, this is an haemangioma. Such tumors present borderline growth and dynamics. Cases of reduction/shrinkage have reen refered. Surgical removal leads to excelent results (when the position/location allows it).
Cardiac MRI showed sizable intramural mass in the mid septum that occupies a part of the myocardial wall and is clearly distinguished from the adjacent ventricular myocardium. The imaging features of the mass are compatible with hemangioma: strong signal on T2, rapid and intense enhancement of gadolinium in the postcontrast image in arterial phase indicating vascularity. Ten minutes after gadolinium administration, there was intense delayed enhancement within the mass indicative of delayed slow blood flow. The provisional diagnosis was hemangioma.

Myocardial Disease

Notes to editor

Presented by : A. Anastasakis,
Unit of inherited Cardiovascular Diseases
1st Department of Cardiology, University of Athens, Hippokrateion Hospital, Greece.