Leiomyomatosis metastatic to the tricuspid valve complicated by pelvic hemorrhage.
Metastatic leiomyomatosis is a rare but potentially life-threatening tumor of smooth muscle cells. Leiomyomas originate predominantly in the uterus and can spread to the lung and, rarely, the heart. We present a case of a 36-year-old woman with known pelvic leiomyomatosis with metastasis to the tricuspid valve. Tricuspid valve replacement was complicated by retroperitoneal hemorrhage from residual pelvic tumor. This potentially catastrophic occurrence should be considered when undertaking resection of intracardiac leiomyomatosis.
Thukkani
Nundhini
N
Division of Cardiothoracic Surgery, Oregon Health Sciences University, Portland, Oregon 97201, USA.
Ravichandran
P S
PS
Das
Asish
A
Slater
Matthew S
MS
D000328:Adult; D005260:Female; D006338:Heart Neoplasms / Q000150:complications / Q000556:secondary*; D006406:Hematoma / Q000150:complications; D006801:Humans; D018231:Leiomyomatosis / Q000150:complications*; D008175:Lung Neoplasms / Q000556:secondary; D011665:Pulmonary Valve Insufficiency / Q000209:etiology; D012187:Retroperitoneal Space; D014262:Tricuspid Valve Insufficiency / Q000209:etiology*; D014592:Uterine Hemorrhage / Q000209:etiology; D014594:Uterine Neoplasms / Q000150:complications*; D019043:Vascular Neoplasms / Q000150:complications