# Giant right atrial hemangioma presenting with ascites: A case report

## TL;DR

A 72-year-old woman with a large heart tumor and abdominal swelling was diagnosed with a rare giant right atrial hemangioma.

## Contribution

This case report highlights the rare presentation of a giant cardiac hemangioma with ascites and hepatomegaly.

## Key findings

- A 13 cm right atrial mass was surgically removed and confirmed as a hemangioma.
- Hepatomegaly and ascites may be associated with cardiac hemangiomas.
- The tumor was initially suspected to be an atrial myxoma based on biopsy.

## Abstract

Cardiac hemangiomas are slow-growing benign tumours of the heart. Patients may be asymptomatic or present a multitude of signs or symptoms.

We report herein the case of a 72-year-old woman with a giant right atrial mass. The patient suffers from abdominal swelling related to ascites. The histological examination of the tranjugular biopsy suspected an atrial myxoma.

The patient was scheduled for surgical excision of the cardiac tumour. Radical resection of a 13 cm mass was performed. The histological diagnosis revealed cardiac hemangioma.

Cardiac hemangiomas can rarely grow larger than 5 cm, cause few symptoms, and are easily confused with atrial myxomas. Hepatomegaly and ascites may be signs of cardiac hemangioma.