Highly vascularized left atrial myxoma mimicking a cardiac hemangioma: a case report

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ID: 333472
2026
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Abstract
Abstract Background Primary cardiac tumors are rare; atrial myxomas predominate, while hemangiomas represent only 1%–2.8%. Differentiating them is challenging when hypervascular features overlap. Case Summary An 81-year-old woman presented with a large, hypervascular left atrial mass supplied by the circumflex artery. Following uneventful surgical resection, histopathology confirmed a cardiac myxoma despite imaging suggesting a hemangioma. Discussion Hypervascularity cannot reliably distinguish myxomas from hemangiomas. Although multimodal imaging is important for surgical planning, definitive diagnosis relies strictly on histopathological evaluation.
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Authors Saúl Pérez Barrios, Juan Manuel Aragón González, Henry Noel Fajardo Perdomo, Felipe Rodríguez Mora, Antonio González‐Calle
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Journal European Heart Journal - Case Reports
Year 2026
DOI
10.1093/ehjcr/ytag745
URL
https://doi.org/10.1093/ehjcr/ytag745
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