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Peer-reviewedCC BY-NC 4.0European Heart Journal. Case Reports

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

Abstract

Background: Primary cardiac tumours are rare; atrial myxomas predominate, while haemangiomas 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 haemangioma.

Discussion: Hypervascularity cannot reliably distinguish myxomas from haemangiomas. Although multimodal imaging is important for surgical planning, definitive diagnosis relies strictly on histopathological evaluation.

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BibTeX
@article{barrios2026highly,
  title = {{Highly vascularized left atrial myxoma mimicking a cardiac haemangioma: a case report}},
  author = {Saúl Pérez Barrios and Juan Manuel Aragón González and Henry Noel Fajardo Perdomo and Felipe Rodríguez Mora and Antonio González Calle},
  journal = {European Heart Journal. Case Reports},
  year = {2026},
  month = oct,
  doi = {10.1093/ehjcr/ytag745},
  url = {https://doi.org/10.1093/ehjcr/ytag745},
  note = {CC BY-NC 4.0},
}
RIS
TY  - JOUR
TI  - Highly vascularized left atrial myxoma mimicking a cardiac haemangioma: a case report
AU  - Saúl Pérez Barrios
AU  - Juan Manuel Aragón González
AU  - Henry Noel Fajardo Perdomo
AU  - Felipe Rodríguez Mora
AU  - Antonio González Calle
PY  - 2026
DA  - 2026/10/23
JO  - European Heart Journal. Case Reports
DO  - 10.1093/ehjcr/ytag745
UR  - https://doi.org/10.1093/ehjcr/ytag745
AB  - Background: Primary cardiac tumours are rare; atrial myxomas predominate, while haemangiomas 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 haemangioma.  Discussion: Hypervascularity cannot reliably distinguish myxomas from haemangiomas. Although multimodal imaging is important for surgical planning, definitive diagnosis relies strictly on histopathological evaluation.
SN  - 2514-2119
ER  -