ABSTRACT
BACKGROUND: Cardiac haemangiomas are extremely rare tumours with equivocal surgical outcomes. Haemangiomas appearing on other sites of the body have been successfully treated with oral propranolol. To the best of our knowledge, such treatment has not been tried to date for cardiac location of haemangiomas. CASE SUMMARY: We report two cases of neonatal cardiac haemangiomas, and we describe their presentation and characteristics, as well as how these were successfully treated with oral propranolol, with complete regression of the tumours within the 1st year of life. DISCUSSION: Despite the rarity of cardiac haemangiomas, their presentation and complications could be dramatic with side-effects spanning from intracardiac space occupying phenomena to Kasabach-Merritt syndrome. Propranolol therapy, having been established for long now in the treatment of skin haemangiomas, should also be considered in cases of cardiac haemangiomas, particularly in the neonatal and infantile population.
Subject(s)
Cardiac Surgical Procedures/methods , Heart Ventricles/physiopathology , Transposition of Great Vessels/classification , Transposition of Great Vessels/diagnosis , Transposition of Great Vessels/surgery , Arrhythmias, Cardiac/etiology , Europe , Female , Humans , Infant , Infant, Newborn , Male , Pregnancy , Prenatal Diagnosis , Reoperation , Societies, Medical , Transposition of Great Vessels/complications , Ventricular Dysfunction/etiologyABSTRACT
Congenital coronary artery fistula is a rare anomaly with varying symptomatology that may be addressed with surgical or interventional closure. Recanalization after complete occlusion of a coronary artery fistula has only been reported after surgical but not after interventional closure. We present a case of coronary artery fistula recanalization after angiographically documented complete transcatheter occlusion with Gianturco coils. The fistula was successfully managed by transcatheter implantation of a Nit-Occlud system, originally designed for interventional closure of patent ductus arteriosus.
