# High-output cardiac failure and severe pulmonary hypertension due to congenital hepatic hemangioma: a case report

## TL;DR

A baby with a liver tumor developed heart and lung complications, which improved after surgery.

## Contribution

Highlights congenital hepatic hemangioma as a rare cause of high-output heart failure and pulmonary hypertension in infants.

## Key findings

- A male infant presented with severe pulmonary hypertension and heart failure due to a hepatic hemangioma.
- Surgical removal of the hemangioma resolved the cardiac and pulmonary complications.
- Congenital hemangioma should be considered in infants with cardiorespiratory compromise.

## Abstract

Hepatic hemangioma is a benign tumor, but may lead to poor outcomes because of various complications. Very rarely presents with high-output congestive heart failure and severe pulmonary hypertension and, if not diagnosed and treated timely can be fatal. We report a challenging case of a term male baby admitted with abdominal distention and respiratory distress on day 2 of life. Post-natal ultrasonography and magnetic resonance imaging (MRI) confirmed the diagnosis of liver hemangioma. Echocardiography (ECHO) showed severe pulmonary hypertension and high-output congestive heart failure. Baby was finally treated with hepatic lobectomy and resection of the hemangioma, which resulted in resolution of pulmonary hypertension and cardiac failure. In infants with cardiorespiratory compromise secondary to cardiac failure and pulmonary hypertension, coexisting congenital hemangioma should be considered as one of primary causes.