Preoperative multimodal imaging evaluation of a primary cardiac schwannoma of the right atrioventricular groove: a case report

European Heart Journal - Case Reports

23 May 2025
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ESC Journals IMAGING Cardiac Computed Tomography (CT) Cardiac Magnetic Resonance (CMR) Cross-Modality and Multi-Modality Imaging Topics Echocardiography Nuclear Imaging

Abstract

AbstractBackground

Cardiac schwannoma is exceedingly rare, and few literature reports are available. We reported a case of primary cardiac schwannoma that performed preoperative multimodal imaging, aiming to highlight the significance of multimodal imaging evaluation and deepen our understanding of this tumour.

Case summary

A 66-year-old man presented to our hospital, as physical examination revealed the presence of a mediastinal mass over a month. Subsequently, the patient underwent comprehensive examination. The images demonstrated the mass compressed the right coronary artery, but no invasion. Resection of the tumour by surgery was conducted, and the patient remains asymptomatic at follow-up.

Discussion

This case emphasizes the role of multimodal imaging in preoperative evaluation of such rare cardiac tumours. For benign cardiac schwannoma, the preferred treatment is surgical resection.

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