Infantile hepatic hemangiomas associated with high-output cardiac failure and pulmonary hypertension

BMC Cardiovasc Disord. 2019 Oct 11;19(1):216. doi: 10.1186/s12872-019-1200-6.

Abstract

Background: Infantile hepatic hemangioma (IHH) is a rare endothelial cell neoplasm, which may be concurrent with severe complications and result in poor outcomes. Moreover, the coexistence of IHH and congenial heart disease is even rarer.

Case presentation: We present a 10-day-old male born with IHH associated with patent ductus arteriosus (PDA), atrial septal defect (ASD) and pulmonary hypertension. Moreover, we reviewed a series of studies of IHH-associated high-output cardiac failure between 1974 and 2018, and summarized the treatment outcomes.

Conclusions: Infantile hepatic hemangioma (IHH) has been known to induce high-output heart failure. There is no literature to summarize the severity of its impact on heart, which can lead to a high mortality rate. When IHH is detected by ultrasound, the heart should be evaluated to facilitate treatment. The outcomes of IHH associated with heart failure are good.

Keywords: Congenital heart disease; Congestive heart failure; Infantile hepatic hemangioma; Pulmonary hypertension.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Cardiac Output, High / diagnostic imaging
  • Cardiac Output, High / etiology*
  • Cardiac Output, High / physiopathology
  • Cardiac Output, High / therapy
  • Ductus Arteriosus, Patent / complications*
  • Ductus Arteriosus, Patent / diagnostic imaging
  • Ductus Arteriosus, Patent / physiopathology
  • Ductus Arteriosus, Patent / therapy
  • Fatal Outcome
  • Heart Failure / diagnostic imaging
  • Heart Failure / etiology*
  • Heart Failure / physiopathology
  • Heart Failure / therapy
  • Hemangioma / complications*
  • Hemangioma / diagnostic imaging
  • Hemangioma / physiopathology
  • Hemangioma / surgery
  • Humans
  • Hypertension, Pulmonary / diagnostic imaging
  • Hypertension, Pulmonary / etiology*
  • Hypertension, Pulmonary / physiopathology
  • Hypertension, Pulmonary / therapy
  • Infant, Newborn
  • Liver Neoplasms / complications*
  • Liver Neoplasms / diagnostic imaging
  • Liver Neoplasms / physiopathology
  • Liver Neoplasms / surgery
  • Male
  • Treatment Outcome