Heart 1998;79:516-517 ( May )
Case report
Cavernous haemangioma in the coronary sinus
The
Second Department of Internal Medicine, School of Medicine, Kanazawa
University, Takara-machi 13-1, Kanazawa 920, Japan
Correspondence to: Dr Yamaguchi.
Accepted for publication 15 January 1998
A 58 year old man with a history of cerebral infarction was
admitted to hospital with chest discomfort and dyspnoea. He had no
history of precordial chest discomfort. Angiography and left ventriculography showed that coronary fistulas connected the coronary sinus with the left circumflex and right coronary arteries. His coronary sinus did not communicate with the right atrium, draining instead into a persistent left superior vena cava. Angiography showed a
mass, suspected to be a thrombus, in the coronary sinus. Transoesophageal echocardiography confirmed the presence of a mass in
the atrioventricular groove. The mass was removed at surgery and proved
to be a cavernous haemangioma.
© 1998 by Heart
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