title: Intracardiac and intravascular leiomyomatosis associated with a pelvic arterio-venous fistula.
abstract: An intravenous leiomyomatosis is a rare benign smooth muscle tumor originating from myometrial veins. The leiomyomatosis occasionally extends from the pelvic vein into the right cardiac chambers. A pelvic arterio-venous fistula (AVF) is also a rare pelvic vascular malformation. The massive arterio-venous shunting causes high output cardiac failure. We present a very rare case of intravascular and intracardiac leiomyomatosis associated with a pelvic AVF. The patient had congestive heart failure before surgery. We successfully performed one-stage surgery to remove the leiomyomatosis as well as the uterus and left ovary with the pelvic AVF.
authors.affiliation: 1 Department of Cardiovascular Surgery, Machida Municipal Hospital, Tokyo, Japan ; 2 Department of Cardiovascular Surgery, Graduate School of Medical and Dental Science, Tokyo Medical and Dental University, Tokyo, Japan.
authors.forename: Tomohiro
authors.initials: T
authors.lastname: Mizuno
authors.affiliation: 1 Department of Cardiovascular Surgery, Machida Municipal Hospital, Tokyo, Japan ; 2 Department of Cardiovascular Surgery, Graduate School of Medical and Dental Science, Tokyo Medical and Dental University, Tokyo, Japan.
authors.forename: Akane
authors.initials: A
authors.lastname: Mihara
authors.affiliation: 1 Department of Cardiovascular Surgery, Machida Municipal Hospital, Tokyo, Japan ; 2 Department of Cardiovascular Surgery, Graduate School of Medical and Dental Science, Tokyo Medical and Dental University, Tokyo, Japan.
authors.forename: Hirokuni
authors.initials: H
authors.lastname: Arai
keywords: Cardiac tumor; peripheral vascular disease; venous disease