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Cardiact Haemangioma- to operate or not to operate.
Mohammad Y. Beebeejaun, Ranjit Deshpande.
King's College Hospital, London, United Kingdom.

OBJECTIVE:
Cardiac Haemangioma- to operate or not to operate
BACKGROUND
Cardiac haemangiomas are rare forms of cardiac tumours which can present at any age and in any cardiac location. The clinical presentation of patients differs with various presenting symptoms such as dyspnoea, palpitations, atypical chest pain and arrhythmias having been reported. Clinical presentation also depends on the location of the tumour and its evolution. Surgical resection is often the treatment of choice.
METHODS:
METHOD
Here, we report a particular case of cardiac haemangioma which was referred to us and eventually managed conservatively. The surgical risks and frequency of debilitating symptoms associated with this particular haemangioma were taken into consideration and contrary to common management, surgical excision of the tumour was not performed. [[Unsupported Character - 
]]The medical history, physical examination, haemangioma evolution as well as our clinical findings at our 1-year follows up are further discussed. We also discuss another case of cardiac haemangioma which required a surgical intervention.
RESULTS:
RESULT AND CONCLUSION
The purpose of this review is to discuss the various surgical and non-surgical options available and elicit the various factors that should be taken into consideration when choosing a conservative/surgical approach.
CONCLUSIONS:
The presentation of cardiac haemangioma varies greatly and their impact on patient's life is highly dependent on their location, size and how compromising they are to normal cardiac function. In summary, we would like to stress the need to weigh in the surgical risks and frequency of debilitating symptoms before excluding a conservative management therapy.


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