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Role of cardiovascular magnetic resonance in an adolescent with a giant intrapericardial mass

Published online by Cambridge University Press:  11 August 2020

Sylvia Krupickova*
Affiliation:
Royal Brompton Hospital, London, UK National Heart and Lung Institute, Imperial College, London, UK
Inga Voges
Affiliation:
Royal Brompton Hospital, London, UK Department of Congenital Heart Disease and Paediatric Cardiology, University Hospital Schleswig-Holstein, Kiel, Germany
Raad Mohiaddin
Affiliation:
Royal Brompton Hospital, London, UK National Heart and Lung Institute, Imperial College, London, UK
*
Author for correspondence: Sylvia Krupickova, MD, PhD, Royal Brompton Hospital, Sydney Street, LondonSW36NP, UK. Tel: +44 20 7352 8121; Fax: +44 207 351 8547. E-mail: s.krupickova@rbht.nhsuk

Abstract

A 14 -year-old boy presented with chest pain and breathlessness. Echocardiography showed a large pericardial effusion with cardiac tamponade features and suspicion of cardiac mass. Cardiovascular magnetic resonance demonstrated a large, well-defined pericardial mass, suggesting atypical large coronary fistula with pericardial haematoma or primary cardiac/pericardial tumour such as angiosarcoma. Histology confirmed a mixed-type vascular malformation. Sirolimus therapy was initiated.

Type
Brief Report
Copyright
© The Author(s), 2020. Published by Cambridge University Press

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