title: Uterine intravenous leiomyomatosis with right ventricular extension.
abstract: Intravenous leiomyomatosis is a rare neoplastic condition characterized by the benign intravascular proliferation of smooth muscle cells originating from either the uterine venous wall or a uterine leiomyoma. In the present report, we describe the case of a 45-year-old woman without a history of gynaecological surgeries, who was referred to our institution due to repeated syncopal attacks. Computed tomography indicated the presence of an intravenous leiomyoma originating from the uterus and extending to the inferior vena cava, right atrium, and right ventricle. The patient was successfully treated by cardiotomy, which was performed under hypothermic circulatory arrest, and laparotomy in a single-stage operation. She continued to recover and did not exhibit any recurrence at the 10-month follow-up.
authors.affiliation: Department of Cardiovascular Surgery, Jichi Medical University, Shimotsuke, Tochigi, Japan.
authors.forename: Masaya
authors.initials: M
authors.lastname: Sogabe
authors.forename: Koji
authors.initials: K
authors.lastname: Kawahito
authors.forename: Kei
authors.initials: K
authors.lastname: Aizawa
authors.forename: Hirotaka
authors.initials: H
authors.lastname: Sato
authors.forename: Yoshio
authors.initials: Y
authors.lastname: Misawa
mesh_terms: D006348:Cardiac Surgical Procedures; D050792:Circulatory Arrest, Deep Hypothermia Induced; D005260:Female; D013509:Gynecologic Surgical Procedures; D006352:Heart Ventricles / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D006801:Humans; D018231:Leiomyomatosis / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D008875:Middle Aged; D010690:Phlebography / Q000379:methods; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014463:Ultrasonography; D014594:Uterine Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery