title: Successful one-stage surgical removal of intravenous leiomyomatosis with cardiac extension in an elderly patient.
abstract: Intravenous leiomyomatosis is a benign smooth muscle tumor that sometimes spreads to the right heart via the inferior vena cava. A complete surgical resection is necessary to ensure its successful treatment. Surgical removal has been performed safely in middle-aged patients. Here we report a case of successful surgical removal in an elderly woman (age 81 years). The woman was admitted with palpitation and diagnosed as having an intravenous leiomyomatosis with cardiac extension. She underwent a one-stage surgical removal with cardiopulmonary bypass and circulatory arrest. We therefore recommend a one-stage operation, if possible, even in elderly patients.
authors.affiliation: Department of Cardiovascular Surgery, National Hospital Organization Okayama Medical Center, Tamasu, Kita-ku, Okayama, Japan.
authors.forename: Masahiro
authors.initials: M
authors.lastname: Okada
authors.forename: Yuichiro
authors.initials: Y
authors.lastname: Miyoshi
authors.forename: Gentaro
authors.initials: G
authors.lastname: Kato
authors.forename: Yoshiki
authors.initials: Y
authors.lastname: Ochi
authors.forename: Shuji
authors.initials: S
authors.lastname: Shimizu
authors.forename: Mikizo
authors.initials: M
authors.lastname: Nakai
mesh_terms: D000369:Aged, 80 and over; D014408:Biomarkers, Tumor / Q000032:analysis; D006348:Cardiac Surgical Procedures; D002315:Cardiopulmonary Bypass; D004452:Echocardiography; D005260:Female; D006324:Heart Arrest, Induced; D006325:Heart Atria / Q000737:chemistry / Q000473:pathology / Q000601:surgery*; D006801:Humans; D007150:Immunohistochemistry; D018231:Leiomyomatosis / Q000737:chemistry / Q000473:pathology / Q000601:surgery*; D009361:Neoplasm Invasiveness; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014594:Uterine Neoplasms / Q000737:chemistry / Q000473:pathology / Q000601:surgery*; D014656:Vascular Surgical Procedures; D014682:Vena Cava, Inferior / Q000737:chemistry / Q000473:pathology / Q000601:surgery*
chemical_list: D014408:Biomarkers, Tumor