Cardiac capillary hemangioma in a patient with atypical chest pain and normal ECG.

Cardiac hemangiomas account for less than 2% of primary cardiac tumors. They can present with palpitation, arrhythmia, right ventricular outflow tract obstruction, pseudoangina, and in more extreme cases sudden death. Our case report presents a 41-year-old man with atypical chest pain, who had a normal heart examination, electrocardiogram, and an unremarkable family and medical history. His echocardiography demonstrated a round semimobile mass in the right ventricle. The diagnosis was confirmed by both transesophageal echocardiography and cardiac magnetic resonance imaging. The tumor was surgically excised and sent for pathology, which was reported as capillary hemangioma. <Learning objective: This rare case aims to endorse the role of echocardiography in patients with atypical chest pain and normal heart examination and electrocardiography, for evaluating possible cardiac masses as a cause.>.