Role of pre-operative assessment in the surgical management of leiomyoma extended to the right heart chambers: a compendium of information from isolated reports.
Recurrent intravenous leiomyoma extending to the right heart chambers is extremely rare. A large range of surgical techniques and approaches (i.e. two-step procedure, hypothermia and circulatory arrest) have been previously described. We report a recent case where the tumour was excised in a one-step procedure under normothermic cardiopulmonary bypass. This report associated to a comprehensive literature review allows us to discuss the role of pre-operative assessment and to propose refinement of surgical techniques according to the anatomy of the tumour.
Roques
F
F
Department of Cardiac Surgery, Fort de France University Hospital, 97200 Fort de France, Martinique. f.r.fwi@wanadoo.fr
Sanchez
B
B
Bucher
B
B
Larivière
J
J
D005260:Female; D006338:Heart Neoplasms / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery*; D006801:Humans; D007889:Leiomyoma / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D014057:Tomography, X-Ray Computed; D014594:Uterine Neoplasms / Q000473:pathology*; D014682:Vena Cava, Inferior / Q000473:pathology*