To investigate the clinical manifestations, pathological types, and echocardiographic manifestations of cardiac hemangioma.

The clinical data and preoperative echocardiographic data of seven patients with cardiac hemangioma who had undergone surgery and were diagnosed by pathology at The First Affiliated Hospital, College of Medicine, Zhejiang University from January 2010 to March 2020 were analyzed retrospectively.

Among the seven patients, two had palpitations, chest tightness, and shortness of breath, one had upper abdominal discomfort, and the remaining four had no obvious symptoms. The postoperative pathological results showed that there were four cases of cavernous hemangioma, one case of capillary hemangioma, and two cases of undiagnosed hemangioma type. Preoperative echocardiographic findings suggested heart and pericardial space-occupying nature to be determined in four cases, the possibility of myxoma in two, and the diagnosis of papillary elastofibroma in one. One case of tumor at the right atrioventricular junction was misdiagnosed as a pericardial tumor. The postoperative follow-up was 3 months to 6 years. Three patients recovered well, one developed right coronary artery and right ventricular fistula after surgery, and the other three were lost to follow-up.

Patients with cardiac hemangioma have no specific clinical manifestations. Echocardiograms show that the morphological manifestations of hemangioma are diverse. It is difficult to qualitatively diagnose hemangioma. The relevant medical records and clinical experience remain to be accumulated and summarized.