Abstract:
Abstract
We present a rare case of mediastinal cavernous hemangioma in a 9-year old girl with advanced
pulmonary hypertension. Dynamic contrast enhanced computed tomography of the chest revealed
a heterogeneous mass in the antero-superior mediastinum with multiple scattered calcifications,
gradually increasing puddles of contrast enhancement and a dilated central vein draining into the
superior venae cavae. Surgical resection was performed via median sternotomy. The central vein
was ligated in close proximity to its draining point and the entire mass was carefully dissected
and excised. The histopathological findings were consistent with cavernous hemangioma. Her
postoperative course was uneventful and she was subsequently discharged. The cause of her
pulmonary hypertension, however, remained uncertain and required further investigation.
Description:
Department of Radiology, State University of Medicine and Pharmacy Republic of Moldova, Moldova, Department of Cardiac Surgery, Clinical Republican Hospital, State University of Medicine and Pharmacy Republic of Moldova, Moldova,
Department of Pathology, Clinical Republican Hospital, State University of Medicine and Pharmacy Republic of Moldova, Moldova