Approach to Hemangiomatosis Causing Congestive Heart Failure

Hemangiomas represent the most common tumor of infancy. Although most cases are cutaneous benign lesions, multiple skin hemangiomas are associated with visceral involvement, especially of the liver. Hepatic hemangiomatosis may be complicated by high-output cardiac failure due to high-flow arterio-venous connections within the lesions. There are different therapeutic means to treat hemangiomatosis causing heart failure, including medical, surgical and interventional modalities. The aim of this presentation is to review the variety of treatment options with their benefits and flaws, and propose a practical therapeutic approach for this medical situation.