Giant Cardiac Hemangioma: Case Report and Literature Review

Introduction : Primary cardiac tumors are extremely rare, posing significant diagnostic and therapeutic challenges. Among them, cardiac hemangiomas are particularly uncommon, constituting only a small percentage of benign heart tumors. Although benign, their unpredictable behavior and potential compression of adjacent cardiac structures can lead to significant complications. This study reports a rare case of a giant cardiac hemangioma, along with a comprehensive literature review. Case Report : A 58-year-old female patient presented with progressive abdominal pain and dyspnea. Imaging studies revealed a heterogeneous mass within the pericardial sac. Cardiac magnetic resonance imaging (MRI) confirmed a lesion measuring 119 x 117 x 67 mm without apparent invasion of the cardiac wall. The patient underwent complete surgical resection of the tumor, with a satisfactory postoperative recovery. Histopathological examination confirmed the diagnosis of a giant cavernous hemangioma. Discussion : The literature review highlights the rarity of cardiac hemangiomas and the importance of complete resection to ensure a favorable prognosis. A multidisciplinary approach, combined with the use of advanced imaging modalities, is essential for accurate diagnosis and appropriate surgical planning. Conclusion : Effective management of giant cardiac hemangiomas requires an integrated approach among various specialties, aimed at early diagnosis and complete resection. Long-term follow-up is necessary to detect potential recurrences.