A one-stage approach to the treatment of intravenous leiomyomatosis extending to the right heart.
This report describes the case of a 60-year-old woman with a history of hysterectomy for myomas, totally asymptomatic, with incidental evidence of a pelvic intracaval mass extending to the right atrium. She underwent a staged procedure (sternothomic and abdominal) through a thoracolaparotomic approach in circulatory arrest and deep hypothermia. Using a one-stage surgical approach, we were able to withdraw one portion of the mass from the right atrium and another from the abdominal inferior vena cava, thus minimizing the risk of unexpected venous or atrial wall injury during surgical manipulation.
Rispoli
Pietro
P
Unit of Vascular Surgery, Post Graduate School of Vascular Surgery, Department of Medico-Surgical Disciplines, University of Turin, Turin, Italy. pietro.rispoli@unito.it
Santovito
Davide
D
Tallia
Caterina
C
Varetto
Gianfranco
G
Conforti
Massimo
M
Rinaldi
Mauro
M
D001706:Biopsy; D002315:Cardiopulmonary Bypass; D050792:Circulatory Arrest, Deep Hypothermia Induced; D005260:Female; D006325:Heart Atria / Q000473:pathology / Q000601:surgery; D006801:Humans; D007084:Iliac Vein / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D033162:Incidental Findings; D018231:Leiomyomatosis / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D056346:Sternotomy; D019616:Thoracic Surgical Procedures; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014594:Uterine Neoplasms / Q000473:pathology / Q000601:surgery*; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*