A 37‑year‑old male with a 6‑month history of atypical nonexertional chest pain and markedly limited exercise capacity was referred for evaluation to our department. He had no previous medical history. There were no pathology in physical examination and laboratory tests. Standard ECG revealed inverse T‑waves in leads I and aVL, and 1st degree atrio‑ventricular block. Chest X‑ray demonstrated a tumor‑like structure on the left cardiac contour. Echocardiography revealed a large echolucent tumor adjacent to the lateral wall of the left ventricle. CT chest topogram was consistent with a large oval tumor on the left demarcation of the heart. Contrast‑enhanced coronary study showed a cystic tumor (75x80x80mm) located in the epicardium of the left ventricle and separated from the myocardium.
The mid portion of the left anterior descending coronary artery (LAD) was located well within the tumor. Coronary angiography showed no coronary artery disease but significant modeling of a large portion of LAD on the tumor mass. Surgical resection of the mass was performed.
Histopathologic examination revealed cavernous hemangioma, a rare primary heart tumor. The patient was discharged in good condition and was found symptom‑free 6 months later. JRCD 2013; 1 (5): 14–16