Surgical management of a uterine leiomyoma extending through the inferior vena cava into the right heart.
We present a case of a 38-year-old woman with intravenous leiomyomatosis originating from the uterus involving the right ventricle, right atrium, inferior vena cava, and iliac veins. Tumors in the heart and the inferior vena cava were removed using cardiopulmonary bypass and circulatory arrest; 10 days after the cardiac operation, hysteroadnexectomy was performed.
Gaudino
Mario
M
Department of Cardiovascular Medicine, Catholic University, Policlinico A. Gemelli, Largo A. Gemelli 8, 00168 Rome, Italy. mgaudino@tiscalinet.it
Spatuzza
Paola
P
Snider
Francesco
F
Luciani
Nicola
N
Cina
Gregorio
G
Possati
Gianfederico
G
D000328:Adult; D002315:Cardiopulmonary Bypass; D005260:Female; D006324:Heart Arrest, Induced; D006325:Heart Atria / Q000601:surgery; D006338:Heart Neoplasms / Q000601:surgery; D006352:Heart Ventricles / Q000601:surgery; D006801:Humans; D007084:Iliac Vein / Q000601:surgery; D007889:Leiomyoma / Q000601:surgery*; D014594:Uterine Neoplasms / Q000601:surgery*; D014682:Vena Cava, Inferior / Q000601:surgery*