Hallmarks of Left Ventricular Apical Cardiac Mass in a Young Patient.

JACC Case Rep

Department of Medical and Surgical Sciences-DIMEC, IRCCS Policlinico S. Orsola-Malpighi, University of Bologna, Bologna, Italy.

Published: January 2025


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Article Abstract

We present the case of a young patient with an apical cardiac mass exhibiting an anterior pseudonecrosis pattern on the electrocardiogram. Cardiac ultrasound revealed a hyperechoic mass infiltrating the apical wall. However, cardiac magnetic resonance ruled out signs of infiltration and demonstrated significant contrast uptake. Vascularization was confirmed through cardiac computed tomography, and 18-fluorodeoxyglucose positron emission tomography showed mild radiotracer uptake. These findings suggested a benign mass despite the presence of significant vascularization. This thorough evaluation enabled the Heart Team to plan and perform a successful surgical excision. The subsequent histologic report demonstrated a cardiac hamartoma.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11733608PMC
http://dx.doi.org/10.1016/j.jaccas.2024.102983DOI Listing

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