title: Intravenous leiomyomatosis with intracardiac extension.
abstract: Intravenous leiomyomatosis with right intracardiac extension is rare. Surgical treatment of the tumor is still controversial because of the high postoperative risk of morbidity and mortality. We describe a series of 5 patients with these lesions who underwent elective operations with different strategies, including one-staged or two-staged resections and cardiopulmonary bypass with beating heart, cardioplegic arrest, or deep hypothermic circulatory arrest. We believe that this report represents one of the largest series of patients encountered in a single institution. In conclusion, radical resection is always possible and the outcomes are satisfactory with planned surgery.
authors.affiliation: Department of Cardiac Surgery, Peking Union Medical College Hospital, Peking Union Medical College, Beijing, China.
authors.forename: Chaoji
authors.initials: C
authors.lastname: Zhang
authors.forename: Qi
authors.initials: Q
authors.lastname: Miao
authors.forename: Xingrong
authors.initials: X
authors.lastname: Liu
authors.forename: Heng
authors.initials: H
authors.lastname: Zhang
authors.forename: Guotao
authors.initials: G
authors.lastname: Ma
authors.forename: Guangjun
authors.initials: G
authors.lastname: Chen
authors.forename: Haibo
authors.initials: H
authors.lastname: Deng
mesh_terms: D000328:Adult; D006348:Cardiac Surgical Procedures / Q000379:methods; D002315:Cardiopulmonary Bypass / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006338:Heart Neoplasms / Q000473:pathology / Q000556:secondary* / Q000601:surgery*; D006352:Heart Ventricles / Q000473:pathology; D006801:Humans; D018231:Leiomyomatosis / Q000473:pathology / Q000601:surgery*; D008875:Middle Aged; D009361:Neoplasm Invasiveness / Q000473:pathology; D018570:Risk Assessment; D012494:Sampling Studies; D016896:Treatment Outcome; D019043:Vascular Neoplasms / Q000473:pathology / Q000601:surgery*; D014680:Veins / Q000473:pathology