Successful one-stage radical removal of intravenous leiomyomatosis extending to the right ventricle.
BACKGROUND
Intravenous leiomyomatosis is a rare tumor originating from the uterus that spreads through vessels. This tumor, while histologically benign, can cause fatal cardiovascular symptoms resulting from growth within the heart cavity.


METHODS
A 51-year-old woman with chronic hypertension was found to have a murmur. Echocardiogram, magnetic resonance imaging, and clinical evaluation revealed an intravenous leiomyomatosis extending to the right ventricle. The appropriate therapy for intravenous leiomyomatosis is complete resection. In this patient, one-stage cardiotomy with laparotomy resulted in successful radical removal of the tumor.


CONCLUSIONS
Our patient underwent successful radical therapy for an intravenous leiomyomatosis extending to the heart, which involved complete resection of the tumor by one-stage cardiotomy with laparotomy.
Uchida
Hiroshi
H
Department of Obstetrics and Gynecology, Keio University, School of Medicine, Shinjuku, Tokyo, Japan. uchida@sc.itc.keio.ac.jp
Hattori
Yoshihisa
Y
Nakada
Kouichi
K
Iida
Toshihiko
T
D002315:Cardiopulmonary Bypass; D013504:Cardiovascular Surgical Procedures; D005260:Female; D006338:Heart Neoplasms / Q000473:pathology / Q000601:surgery*; D006352:Heart Ventricles; D006801:Humans; D007813:Laparotomy; D018231:Leiomyomatosis / Q000473:pathology / Q000601:surgery*; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D014594:Uterine Neoplasms / Q000473:pathology / Q000601:surgery*; D019043:Vascular Neoplasms / Q000473:pathology / Q000601:surgery*