Right Atrial Mass, Concomitant Right Atrium and Liver Hemangioma

Abstract

Introduction: Tumors of the heart comprise 0.2% of all human tumors, Right atrial masses are rare whiten cardiac tumors,We herein present a concomitant heart and liver tumor. Patients Personation and Mangment: Our patient was a 49-year-old man with dyspnea at rest of 2 months’ duration. transthoracic echocardiography revealed normal right ventricular size with mild-to-moderate right ventricular systolic dysfunction , mild right atrial enlargement with a homogenous, oval-shaped mass (4 × 2.71 cm) featuring a translucent rim,Pulmonary computed tomography (CT) angiography yielded no filling defects and findings in favor of pulmonary emboli or tumoral lesions.Abdominopelvic sonography showed fatty liver (grade I) and a heterogeneous, hyperechoic ill-defined mass (128 × 98 mm) in the right lobe of the liver. Abdominopelvic intravenous contrast CT illustrated an infiltrative tumoral lesion in the liver lobe with heterogeneous, nodular enhancement at an early phase. Abdominal magnetic resonance imaging demonstrated a large, lobulated mass lesion, 15 × 12× 10 cm in size, in the right lower lobe of the liver with heterogeneous high-signal intensity in T2, as well as peripheral nodular enhancement after contrast injection, followed by centripetal progression of the enhancement, in favor of a cavernous hemangioma.The patient underwent open-heart surgery in our center and right atrial mass extracted. The pathology examination reported a benign vascular lesion, compatible with a hemangioma with venous and capillary features. Conclusion: concomitant right atrium and liver hemangioma as a primary benign tumor is rare and despite its late onset personation it must be considered in patients with both heart and liver mass.